Organization
FIRST DIVINE HOME HEALTHCARE AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCY CHIMA (RN DIRECTOR AND ADMINISTRATOR)
(512) 251-7077
Entity
Organization
Contact information
Practice address
7901 CAMERON RD STE 3-302, AUSTIN, TX 78754-3828
(512) 251-7077
(512) 990-8387
Mailing address
7901 CAMERON RD STE 3-302, AUSTIN, TX 78754-3828
(512) 990-8387
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010400
TX
Other
Enumeration date
03/24/2007
Last updated
07/09/2008
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