# DIVINITY HEALTHCARE, PLLC

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

## Provider details

- **NPI number:** 1477653202
- **Authorized official:** PATRICK KALU (ADMINISTRATOR)
- **Authorized official phone:** (214) 929-7373

## Contact information

- **Practice address:** 3213 IH 30, STE. 205, MESQUITE, TX 75150-2606
- **Practice address phone:** (214) 929-7373
- **Practice address fax:** (972) 613-0950
- **Mailing address:** 3213 IH 30, STE. 205, MESQUITE, TX 75150-2606
- **Mailing address phone:** (214) 929-7373
- **Mailing address fax:** (972) 613-0950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 009739 | TX | — |
| 251E00000X | Home Health Agency | 011556 | TX | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 07/31/2008