Divine Hands Of Care, Inc | |
4140 Worlington Ter Fort Pierce FL 34947-1335 | |
(772) 528-6628 | |
(772) 466-4988 |
Full Name | Divine Hands Of Care, Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 4140 Worlington Ter, Fort Pierce, Florida |
Authorized Official Name and Position | Dan Edward Darrisaw (CEO) |
Authorized Official Contact | 7725286628 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Divine Hands Of Care, Inc 4140 Worlington Ter Fort Pierce FL 34947-1335 Ph: (772) 528-6628 | Divine Hands Of Care, Inc 4140 Worlington Ter Fort Pierce FL 34947-1335 Ph: (772) 528-6628 |
NPI Number | 1700066073 |
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Provider Enumeration Date | 11/05/2007 |
Last Update Date | 03/17/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700066073 | NPI | - | NPPES |
688140898 | Medicaid | FL | |
688140896 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 688140896 (Florida) | Primary |
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