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1063919157
DIVINE PHC LLC
FORNEY, TX
NPI
1063919157
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Entity Type
Organization
Authorized Contact
JOY IFY FLETCHER
Administrator
214-404-1509
Organization Subpart ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-04-06
Last Update Date
2019-08-20
Business Address
DIVINE PHC LLC
808 ORIOLE DR
FORNEY, TX 75126-7749
Phone number: 214-404-1509
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Mailing Address
DIVINE PHC LLC
808 ORIOLE DR
FORNEY, TX 75126-7749
Phone number: 214-404-1509
Copy
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