Organization
I DEVINE-CARE MEDICAL DME & SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IKECHUKWU STANISLAUS IWUNNAH (PRESIDENT/OWNER)
(214) 215-9026
Entity
Organization
Contact information
Practice address
3201 INTERSTATE HIGHWAY 30, SUITE C2, MESQUITE, TX 75150-2605
(972) 279-0643
(972) 279-0543
Mailing address
3201 INTERSTATE HIGHWAY 30, SUITE C2, MESQUITE, TX 75150-2605
(972) 279-0643
(972) 279-0543
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0109451
TX
Other
Enumeration date
09/29/2009
Last updated
07/07/2011
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