Divine Heritage Health Home Care Agency LLC

NPI #1538678651 in Desoto, Texas

Provider Information

NPI Number: 1538678651
Entity Type: Organization
Organization Name: Divine Heritage Health Home Care Agency LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SENIOR HEALTH INFORMATION NETWORK
Primary Specialty: Religious Nonmedical Health Care Institution
Enumeration Date: Sep 20, 2017
Last Updated: Dec 1, 2020

Practice Location

Address: 431 W WINTERGREEN RD
City: Desoto
State: Texas
ZIP Code: 75115-2394
Phone: (979) 803-0032

Authorized Official

Name: MARY LOUISE GAINES
Title: HEALTH CARE ADMINISTRATOR
Phone: (612) 440-2462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Local Education Agency (LEA)	251300000X
Hospice Care, Community Based	251G00000X
Nursing Care	251J00000X
Non-emergency Medical Transport (VAN)	343900000X
Religious Nonmedical Health Care Institution	282J00000X	Primary

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