# DIVINE INTERVENTION MEDICAL STAFFING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396963534
- **Authorized official:** CLEON L. SOLOMON III LVN (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (832) 202-7244

## Contact information

- **Practice address:** 21346 MAPLE HARVEST LN, HUMBLE, TX 77338-2039
- **Practice address phone:** (832) 202-7244
- **Practice address fax:** (713) 734-4364
- **Mailing address:** 21346 MAPLE HARVEST LN, HUMBLE, TX 77338-2039
- **Mailing address phone:** (832) 202-7244
- **Mailing address fax:** (713) 734-4364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 08/22/2020