Organization
DIVINE MIRACLE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLAKE OBIOMA (PRESIDENT)
(682) 252-2432
Entity
Organization
Contact information
Practice address
3201 E PIONEER PKWY, ARLINGTON, TX 76010-5345
(682) 347-4044
Mailing address
3201 E PIONEER PKWY, ARLINGTON, TX 76010-5345
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/07/2020
Last updated
04/29/2024
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