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Divine Cure Health, INC

Case Management in Grand Prairie, TX. Organization (NPI-2).

NPI number1184926396
StatusActive
Last updated in NPPESNov 19, 2010

Details

NPI
1184926396
Entity type
Organization (NPI-2)
Legal business name
Divine Cure Health, INC
Organization subpart
No
Enumeration date
Nov 19, 2010
Last updated
Nov 19, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

2304 Oak Ln
#15
Grand Prairie, TX 75051-8812

Phone 972-237-4670

Mailing address

2304 Oak Ln
#15
Grand Prairie, TX 75051-8812

Phone 972-237-4670

Authorized official

Jonathan Ndiulor
Owner/Ceo/Cfo
9722374670

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