Organization
DIVINE HOME HEALTH GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GELYS GONGORA (PRESIDENT)
(813) 890-3400
Entity
Organization
Contact information
Practice address
6107 MEMORIAL HWY, SUITE B, TAMPA, FL 33615
(813) 890-3400
Mailing address
3980 TAMPA ROAD, SUITE 205H, OLDSMAR, FL 34677
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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