DIVINE PHC LLC

FORNEY, TX
NPI1063919157
Entity TypeOrganization
Authorized ContactJOY IFY FLETCHER
Administrator
214-404-1509
Organization Subpart ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2018-04-06
Last Update Date2019-08-20
Business Address
DIVINE PHC LLC
808 ORIOLE DR
FORNEY, TX 75126-7749
Phone number: 214-404-1509
Mailing Address
DIVINE PHC LLC
808 ORIOLE DR
FORNEY, TX 75126-7749
Phone number: 214-404-1509