# DEVINE HOLISTIC HOME HEALTH CARE INC

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

## Provider details

- **NPI number:** 1871806364
- **Authorized official:** QUINNET MOMOH (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (972) 533-5163

## Contact information

- **Practice address:** 3012 FAIRVIEW DR, GRAND PRAIRIE, TX 75052-0443
- **Practice address phone:** (972) 533-6163
- **Practice address fax:** (817) 472-9046
- **Mailing address:** 3012 FAIRVIEW DR, GRAND PRAIRIE, TX 75052-0443
- **Mailing address phone:** (972) 533-6163
- **Mailing address fax:** (817) 472-9046

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 07/26/2010