Divine Home Health LLC
NPI #1356113302 in Sugar Land, Texas
Provider Information
- NPI Number
- 1356113302
- Entity Type
- Organization
- Organization Name
- Divine Home Health LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 24, 2023
- Last Updated
- Nov 1, 2023
Practice Location
- Address
- 3906 PEBBLE HEIGHTS LN # TX77479
- City
- Sugar Land
- State
- Texas
- ZIP Code
- 77479-3753
- Phone
- (907) 351-4814
Authorized Official
- Name
- ISICHEI SAMUEL ANENE
- Title
- PROGRAM MANAGER
- Phone
- (907) 351-4814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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