Organization
DIVINITY HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK KALU (ADMINISTRATOR)
(214) 929-7373
Entity
Organization
Contact information
Practice address
3213 IH 30, STE. 205, MESQUITE, TX 75150-2606
(214) 929-7373
(972) 613-0950
Mailing address
3213 IH 30, STE. 205, MESQUITE, TX 75150-2606
(214) 929-7373
(972) 613-0950
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
009739
TX
251E00000X
Home Health Agency
Primary
011556
TX
Other
Enumeration date
09/22/2006
Last updated
07/31/2008
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