# DIVINE CHOICE HEALTHCARE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164856340
- **Authorized official:** OLUBUKUNOLA O OGUNSANWO (ADMISTRATOR)
- **Authorized official phone:** (832) 883-7495

## Contact information

- **Practice address:** 503A S EAGLE ST, SUITE 5, WEIMAR, TX 78962-2901
- **Practice address phone:** (979) 633-8007
- **Practice address fax:** (832) 595-0704
- **Mailing address:** 503A S EAGLE ST, SUITE 5, WEIMAR, TX 78962-2901
- **Mailing address phone:** (832) 883-7495
- **Mailing address fax:** (832) 595-0704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2013
- **Last updated:** 06/06/2015