NPI 1538678651
Divine Heritage Health Home Care Agency LLC
Practice location
- Address
- 431 W Wintergreen Rd, Desoto, TX 75115-2394
- Phone
- (979) 803-0032
- Mailing address
- 5757 N Lincoln Ave STE 23, Chicago, IL 60659-4729
Authorised official
- Name
- Mary Louise Gaines
- Title
- Health Care Administrator
- Phone
- (612) 440-2462
Registered specialties (5)
Religious Nonmedical Health Care Institution
Primary
Local Education Agency (LEA)
Community Based Hospice Care Agency
Nursing Care Agency
Non-emergency Medical Transport (VAN)
Registry record
- NPI
- 1538678651
- Entity type
- Organization
- NPI issued
- 20 Sep 2017
- Record last updated
- 1 Dec 2020
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.