| NPI | 1831351949 |
|---|---|
| Doing Business As | DIVINE CARE SERVICES OF TAMPA BAY LLC |
| Entity Type | Organization |
| Authorized Contact | FERNANDO LAMAR MAYNOR President 727-902-7162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 230342) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |