# DIVINE MIRACLE HOME CARE LLC

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

## Provider details

- **NPI number:** 1760004287
- **Authorized official:** FOLAKE OBIOMA (PRESIDENT)
- **Authorized official phone:** (682) 252-2432

## Contact information

- **Practice address:** 3201 E PIONEER PKWY, ARLINGTON, TX 76010-5345
- **Practice address phone:** (682) 347-4044
- **Mailing address:** 3201 E PIONEER PKWY, ARLINGTON, TX 76010-5345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 05/07/2020
- **Last updated:** 04/29/2024