Organization
DIVINE COVENANT HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUBANJI WINFUL (ADMINISTRATOR)
(713) 240-1902
Entity
Organization
Contact information
Practice address
12660 STAFFORD RD, STE 1138, STAFFORD, TX 77477-3522
(713) 240-1902
(713) 257-6631
Mailing address
12660 STAFFORD RD, STE 1138, STAFFORD, TX 77477-3522
(713) 240-1902
(713) 257-6631
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010759
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010759
LICENSED HOME HEALTH SERV
TX
Enumeration date
10/02/2006
Last updated
08/22/2020
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