| NPI | 1760783773 | 
|---|---|
| Doing Business As | DIVINE HOME SERVICES | 
| Entity Type | Organization | 
| Authorized Contact | FELICIA DENESE MITCHELL Owner 904-476-4171  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 253Z00000X In Home Supportive Care | 
| Enumeration Date | 2010-11-07 | 
| Last Update Date | 2010-11-07 |