Organization
DIVICARE HOME HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH CHINYERE MONTGOMERY RN (OWNER)
(469) 583-9678
Entity
Organization
Contact information
Practice address
8005 N MACARTHUR BLVD APT 2017, IRVING, TX 75063-7648
(469) 583-9678
(214) 889-7700
Mailing address
8005 N MACARTHUR BLVD APT 2017, IRVING, TX 75063-7648
(469) 583-9678
(214) 889-7700
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
06/20/2018
Last updated
04/24/2021
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