NPI 1356113302

Divine Home Health LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Sugar Land, TX

Practice location

Address: 3906 Pebble Heights Ln # Tx77479, Sugar Land, TX 77479-3753
Phone: (907) 351-4814

Authorised official

Name: Isichei Samuel Anene
Title: Program Manager
Phone: (907) 351-4814

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1356113302
Entity type: Organization
NPI issued: 24 Oct 2023
Record last updated: 1 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.