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Organization
DIVINE HOME HEALTH CARE SERVICES
Active
Organization
DIVINE HOME HEALTH CARE SERVICES
Active
Other names
divine health care services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLASIMBO IFASEWA ODUTAYO LVN (ADMINSTATOR)
(817) 350-4867
Entity
Organization
Contact information
Practice address
308, AUTUMN PARK, FORT-WORTH, TX 76140
(817) 350-4867
Mailing address
308, AUTUMN PARK, FORT-WORTH, TX 76140
(817) 350-4867
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
06/09/2009
Last updated
06/16/2009
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