DIVINEHEART HEALTHCARE, INC.
Agencies at Jupiter Rd, Dallas, TX

License number
Texas 012309
Category
Agencies
Type
Home Health
License number
Texas 009901
Category
Agencies
Type
Home Health
Owner
Name: GOODLUCK MEZIE
Title: OWNER
Phone: (214) 452-6253
Address
Address
12959 Jupiter Rd SUITE 180, Dallas, TX 75238
National Provider ID: 1366578288
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DIVINEHEART HEALTHCARE INC

12959 Jupiter Rd #115, Dallas, TX 75238

Doing business as:
Divineheart Healthcare Inc
Registration:
Feb 22, 2005
State ID:
0800457062
Business type:
Domestic For-Profit Corporation
Directors:
Goodluck Mezie (PRESIDENT, President), 12959 Jupiter Rd, Dallas, TX 75238,Florence Enoudo Director, inactive,Edet Enoudo Director, inactive
Agent:
Gabriel C Nwachukwu,12959 Jupiter Rd St 115, Dallas, TX 75238 (Physical)
TIN:
32016824180

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