| Divine Care Llc | |
|
3354 Meadowside Dr Sachse TX 75048-2270 | |
| (972) 400-3186 | |
| Not Available |
| Full Name | Divine Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3354 Meadowside Dr, Sachse, Texas |
| Authorized Official Name and Position | Debra O Balogun (PRESIDENT) |
| Authorized Official Contact | 9724003186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Care Llc 3354 Meadowside Drive Sachse TX 75048 Ph: (972) 400-3186 | Divine Care Llc 3354 Meadowside Dr Sachse TX 75048-2270 Ph: (972) 400-3186 |
| NPI Number | 1275069239 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275069239 | NPI | - | NPPES |
| 802713080 | Other | TX | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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