Divine Choice Healthcare Services Inc
Organization Active NPI Home Health Agency · Weimar, TX
NPI 1164856340 · NPPES record last updated Jun 6, 2015
Key facts
- NPI
- 1164856340
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- DIVINE CHOICE HEALTHCARE SERVICES INC
- Practice address
- 503A S Eagle St
Suite 5
Weimar, TX 78962-2901 - Phone
- (979) 633-8007
- Fax
- (832) 595-0704
- NPI assigned
- Aug 24, 2013
- Organization subpart
- No
Authorized official
- Name
- Olubukunola O Ogunsanwo
- Title
- Admistrator
- Phone
- (832) 883-7495
National Provider Directory
Locations
503A S Eagle St
Ste 5
Weimar, TX 78962
Phone (979) 633-8007
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
503A S Eagle St
Suite 5
Weimar, TX 78962-2901
Mailing address
503A S Eagle St
Suite 5
Weimar, TX 78962-2901
Phone (832) 883-7495
Other providers in Weimar, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.