Organization
HEART OF TEXAS DIVINE LIVING ASSISTANCE SERVICES LLC
Active
Other names
Divine Living Assistance Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L KIDD (ADMINISTRATOR/OWNER)
(254) 498-5067
Entity
Organization
Contact information
Practice address
492 QUAIL HAVEN RD, CHINA SPRING, TX 76633-2841
(254) 498-5067
Mailing address
492 QUAIL HAVEN RD, CHINA SPRING, TX 76633-2841
(254) 498-5067
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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