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General NPI Number Information
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NPI Number | 1205270576
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Entity Type | Organization
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Legal Business Name | DEVINE CARE PLUS LLC
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 6024 LAKE WORTH RD
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City | GREENACRES
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State | FL
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Zip | 33463-4287
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Country | US
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Telephone | 561-225-1492
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Fax | 877-239-4406
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Provider Business Mailing Address
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Address Line | 6024 LAKE WORTH RD
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City | GREENACRES
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State | FL
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Zip | 33463-4287
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Country | US
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Telephone | 561-225-1492
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Fax | 877-239-4406
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Authorized Official
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Title or Position | MANGER
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Name | MS. LATOYA HOQUEE
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Credential | RN
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Telephone | 561-225-1492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | 233175
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 30211800
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 30211800
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 30211800
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 30211800
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License Number State | FL
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