Divine Phc LLC
NPI #1063919157 in Forney, Texas
Provider Information
- NPI Number
- 1063919157
- Entity Type
- Organization
- Organization Name
- Divine Phc LLC
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Apr 6, 2018
- Last Updated
- Aug 20, 2019
Practice Location
Authorized Official
- Name
- MS. JOY IFY FLETCHER, ADMINISTRATOR
- Title
- ADMINISTRATOR
- Phone
- (214) 404-1509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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