NPI 1013446475
Divine Care Services LLC
Practice location
- Address
- 21212 SE 62nd Ave, Hawthorne, FL 32640
- Phone
- (352) 870-9651
- Mailing address
- 21212 SE 62nd Ave, Hawthorne, FL 32640-3527
Authorised official
- Name
- Natasha Shantel Williams
- Title
- Ceo
- Phone
- (352) 870-9651
Registered specialties (3)
Adult Companion
Primary
Home Health Aide
Homemaker
Registry record
- NPI
- 1013446475
- Entity type
- Organization
- NPI issued
- 8 Jun 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.