Organization
DIVINE HOME HEALTH CARE SERVICES
Active
Other names
divine health care services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLASIMBO IFASEWA ODUTAYO LVN (ADMINSTATOR)
(817) 350-4867
Entity
Organization
Contact information
Practice address
308, AUTUMN PARK, FORT-WORTH, TX 76140
(817) 350-4867
Mailing address
308, AUTUMN PARK, FORT-WORTH, TX 76140
(817) 350-4867
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
06/09/2009
Last updated
06/16/2009
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