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General NPI Number Information
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NPI Number | 1992058242
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Entity Type | Organization
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Legal Business Name | DIVINE MOTHER LOVE HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 5373 W ALABAMA ST # 442
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City | HOUSTON
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State | TX
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Zip | 77056-5930
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Country | US
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Telephone | 102-815-1541
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Fax | 888-604-9472
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Provider Business Mailing Address
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Address Line | 8903 ALTAMONT DR
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City | HOUSTON
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State | TX
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Zip | 77074-2409
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Country | US
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Telephone | 713-534-1108
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Fax | 713-534-1203
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MIKE OGADI
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Credential |
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Telephone | 713-534-1108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010114
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License Number State | TX
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