Organization
DIVINE LOVE RESIDENTIAL HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI BOOTH (ADMINISTRATOR/CEO)
(469) 986-4822
Entity
Organization
Contact information
Practice address
340 N SAM HOUSTON PKWY E STE A160I, HOUSTON, TX 77060-3305
(469) 986-4822
(469) 200-8339
Mailing address
340 N SAM HOUSTON PKWY E STE A160I, HOUSTON, TX 77060-3305
(469) 986-4822
(469) 200-8339
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
11/06/2023
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