Organization
FIRST DIVINE HOME HEALTHCARE AGENCY INC.
Active
Other names
FIRST DIVINE HOME HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCE TUBONEMI RN (ADMINISTRATOR/OWNER)
(512) 870-7395
Entity
Organization
Contact information
Practice address
7901 CAMERON RD STE 302, AUSTIN, TX 78754-3831
(512) 775-6392
(512) 990-8387
Mailing address
2612 BYFIELD DR, CEDAR PARK, TX 78613-7614
(512) 870-7395
(512) 456-7450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158806705
—
TX
Enumeration date
04/19/2018
Last updated
04/19/2018
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