Organization
DIVINE ASSURANCE HEALTHCARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUGBENGA BAKARE (ADMINISTRATOR)
(469) 286-8472
Entity
Organization
Contact information
Practice address
2920 VOLTURNO DR, GRAND PRAIRIE, TX 75052-8731
(469) 286-8472
Mailing address
2920 VOLTURNO DR, GRAND PRAIRIE, TX 75052-8731
(469) 286-8472
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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