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Organization
HEART OF TEXAS DIVINE LIVING ASSISTANCE SERVICES LLC
Active
Organization
HEART OF TEXAS DIVINE LIVING ASSISTANCE SERVICES LLC
Active
Other names
Divine Living Assistance Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L KIDD (ADMINISTRATOR/OWNER)
(254) 498-5067
Entity
Organization
Contact information
Practice address
492 QUAIL HAVEN RD, CHINA SPRING, TX 76633-2841
(254) 498-5067
Mailing address
492 QUAIL HAVEN RD, CHINA SPRING, TX 76633-2841
(254) 498-5067
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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