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Organization

DIVINE CHOICE HEALTHCARE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLUBUKUNOLA O OGUNSANWO (ADMISTRATOR)
(832) 883-7495
Entity
Organization

Contact information

Practice address
503A S EAGLE ST, SUITE 5, WEIMAR, TX 78962-2901
(979) 633-8007
(832) 595-0704
Mailing address
503A S EAGLE ST, SUITE 5, WEIMAR, TX 78962-2901
(832) 883-7495
(832) 595-0704

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
08/24/2013
Last updated
06/06/2015
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