Organization
DIVINE PROFESSIONALS HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK ILOANYA (ADMINISTRATOR/DIRECTOR)
(832) 987-1984
Entity
Organization
Contact information
Practice address
7324 SOUTHWEST FWY STE 601, HOUSTON, TX 77074
(832) 987-1984
(832) 539-1952
Mailing address
7322 SOUTHWEST FWY STE 868, HOUSTON, TX 77074-2137
(832) 987-1984
(832) 539-1952
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
013159
TX
251E00000X
Home Health Agency
—
—
343800000X
Secured Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326076201
—
TX
Enumeration date
12/23/2009
Last updated
06/12/2024
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