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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