# DIVINE WELLNESS HOME HEALTH LLC.

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

## Provider details

- **NPI number:** 1760220156
- **Authorized official:** REMONICA LASHA WALLER (OWNER/ ADMINISTRATOR)
- **Authorized official phone:** (469) 628-3606

## Contact information

- **Practice address:** 1501 LAKE GROVE DR, LITTLE ELM, TX 75068-8655
- **Practice address phone:** (469) 628-3606
- **Mailing address:** 1501 LAKE GROVE DR, LITTLE ELM, TX 75068-8655
- **Mailing address phone:** (469) 628-3606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 07/18/2024
- **Last updated:** 05/18/2026