Organization
DIVINE HOME CARE LLC
Active
Other names
Acti-Kare Responsive In Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUCCESS AIGBOGUN (ADMINISTRATOR)
(609) 231-8026
Entity
Organization
Contact information
Practice address
27822 BURCHFIELD GROVE LN, KATY, TX 77494-5206
(609) 231-8026
Mailing address
27822 BURCHFIELD GROVE LN, KATY, TX 77494-5206
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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