Organization
DIVINE CHILDREN'S CARE HOME
Active
Other names
Divine Children's Care Home, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTRI RIDLEY RN (CHIEF EXECUTIVE OFFICER)
(832) 567-7936
Entity
Organization
Contact information
Practice address
40018 HWY 290 BUSINESS, WALLER, TX 77484
(469) 301-7632
Mailing address
PO BOX 1447, WALLER, TX 77484-1447
(469) 301-7632
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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