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General NPI Number Information
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NPI Number | 1801066071
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Entity Type | Organization
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Legal Business Name | DIVINE HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 6107 MEMORIAL HWY STE B
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City | TAMPA
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State | FL
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Zip | 33615-4564
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Country | US
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Telephone | 813-890-3400
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Fax | 813-464-8069
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Provider Business Mailing Address
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Address Line | 4534B W VILLAGE DR
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City | TAMPA
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State | FL
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Zip | 33624-3429
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GELYS L RIOS
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Credential |
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Telephone | 813-810-8650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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