J&t Divine Care

NPI #1043966476 in Mount Dora, Florida

Provider Information

NPI Number: 1043966476
Entity Type: Organization
Organization Name: J&t Divine Care
Primary Specialty: Technician - Attendant Care Provider
Enumeration Date: Feb 24, 2022
Last Updated: Mar 20, 2022

Practice Location

Address: 440 ROYELLOU LN STE 205
City: Mount Dora
State: Florida
ZIP Code: 32757-5520
Phone: (407) 756-9492

Authorized Official

Name: TESICA BARNES
Title: ADMINISTRATOR
Phone: (407) 756-9982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X	Primary

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