Organization
DIVINE GRACE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOFI KYEI (ADMINISTRATOR)
(202) 459-8359
Entity
Organization
Contact information
Practice address
1400 N STATE HIGHWAY 360 APT 422, MANSFIELD, TX 76063-3514
(202) 459-8359
Mailing address
1400 N STATE HIGHWAY 360 APT 422, MANSFIELD, TX 76063-3514
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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