Organization
A DIVINE HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAIRO TAIWO REGISTERED NURSE (ADMINISTRATOR)
(832) 359-3932
Entity
Organization
Contact information
Practice address
23410 VERGE SIMS DR, RICHMOND, TX 77469-2973
(832) 359-3932
Mailing address
23410 VERGE SIMS DR, RICHMOND, TX 77469-2973
(832) 359-3932
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/07/2023
Last updated
10/19/2023
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