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Organization

DIVINE PROVIDERS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY D EFFIONG (ADMINISTRATOR)
(281) 302-6662
Entity
Organization

Contact information

Practice address
18947 PINE HARVEST LN, RICHMOND, TX 77407
(281) 302-6662
(281) 302-6662
Mailing address
18947 PINE HARVEST LN, RICHMOND, TX 77407
(281) 302-6662
(281) 302-6662

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
05/08/2019
Last updated
05/08/2019
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