Divine Comfort Care
Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child in Jacksonville, FL. Organization (NPI-2).
NPI number1013603372
StatusActive
Last updated in NPPESApr 11, 2023
Details
- NPI
- 1013603372
- Entity type
- Organization (NPI-2)
- Legal business name
- Divine Comfort Care
- Organization subpart
- No
- Enumeration date
- Apr 11, 2023
- Certification date
- Apr 11, 2023
- Last updated
- Apr 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | Yes |
| 251E00000X | Home Health | – | – |
Practice location
5601 Edenfield Rd Apt 313Jacksonville, FL 32277-9423
Phone 904-258-8023
Mailing address
5601 Edenfield Rd Apt 313Jacksonville, FL 32277-9423
Phone 904-258-8023
Authorized official
Chela Foreman
Manager
9042588023
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