Divine Heritage, LLC
NPI #1215486071 in New Port Richey, Florida
Provider Information
- NPI Number
- 1215486071
- Entity Type
- Organization
- Organization Name
- Divine Heritage, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 22, 2016
- Last Updated
- Sep 22, 2016
Practice Location
- Address
- 11911 PINE FOREST DR
- City
- New Port Richey
- State
- Florida
- ZIP Code
- 34654-1462
- Phone
- (813) 317-7991
Authorized Official
- Name
- MS. CLARICE THOMAS ROBERTS, RN
- Title
- PRESIDENT
- Phone
- (813) 317-7991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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