# DIVINE CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Divine Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619347705
- **Authorized official:** MERCEDES MCQUEEN (ADMINISTRATOR)
- **Authorized official phone:** (817) 412-3956

## Contact information

- **Practice address:** 215 EXECUTIVE WAY, 130, DESOTO, TX 75115-2396
- **Practice address phone:** (972) 947-3100
- **Practice address fax:** (972) 947-3099
- **Mailing address:** 215 EXECUTIVE WAY, 130, DESOTO, TX 75115-2396
- **Mailing address phone:** (972) 947-3100
- **Mailing address fax:** (972) 947-3099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 016265 | TX | Yes |

## Other

- **Enumeration date:** 10/01/2015
- **Last updated:** 10/01/2015