| Organization Name: | L&L DIVINE COMMUNITY SERVICES INC |
| NPI Number: | 1003246968 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMANDA MURRAY-HARDEMAN (DIRECTOR/OWNER) |
| Mailing Address: | 7605 Lueders Ave Jacksonville |
| State: | FL US |
| Postal Code: | 322083443 |
| Phone Number: | 9049552588 |
| Fax Number: | 9047661370 |
| NPI Enumeration Date: | 11/13/2013 |
| NPI Last Update Date: | 11/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 229302 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |