Organization
MAGGIE'S DIVINE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ONORIODE PAULINE IGHOFOSE MD (MEMBER)
(347) 480-2110
Entity
Organization
Contact information
Practice address
13919 LITTLEBORNE BIRDWELL LN, HOUSTON, TX 77047-4530
(347) 480-2110
Mailing address
13919 LITTLEBORNE BIRDWELL LN, HOUSTON, TX 77047-4530
(347) 480-2110
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/19/2022
Last updated
07/18/2023
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