Decorkus V Allen

LBN: Divine Healing Senior & Disabled Services Llc
Decorkus V Allen is an health care organization with primary practice located at 8866 High Bridge Rd , Midway FL 32343. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Divine Healing Senior & Disabled Services Llc can be contacted via phone (850) 274-7104, or through Allen, Decorkus via phone (850) 274-7104.

Contact Information

Primary practice address
8866 High Bridge Rd Midway FL 32343
Phone: (850) 274-7104
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Allen, Decorkus
Phone: (850) 274-7104

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1679194237
LBN Legal business name Divine Healing Senior & Disabled Services Llc
DBA Doing business as Decorkus V Allen
Authorized official Allen, Decorkus
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2020
Last updated Jun 22nd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679194237 NPPES
Florida MEDICAID 021500500
Florida MEDICAID 114242100

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