# DIVINE HEALTH CARE

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

## Provider details

- **NPI number:** 1285243345
- **Authorized official:** LATOYAL ROBINSON (OWNER)
- **Authorized official phone:** (501) 353-5392

## Contact information

- **Practice address:** 5851 LEGACY CIR STE 600, PLANO, TX 75024-5969
- **Practice address phone:** (501) 353-8568
- **Mailing address:** 5851 LEGACY CIR STE 600, PLANO, TX 75024-5969
- **Mailing address phone:** (501) 353-8568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 305R00000X | Preferred Provider Organization | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 07/24/2020
- **Last updated:** 09/14/2020