Organization
ISAAC CHUKWUMA OHALETE
Active
Organization
ISAAC CHUKWUMA OHALETE
Active
Other names
Divine Comfort Homecare Services
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC OHALETE (PROGRAM ADMINISTRATOR)
(281) 455-2242
Entity
Organization
Contact information
Practice address
1002 GEMINI ST STE 136A, HOUSTON, TX 77058-2746
(832) 792-8252
(281) 346-9988
Mailing address
2104 RINCON DR, LEAGUE CITY, TX 77573-1569
(281) 455-2242
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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