# DIVINE DIAMOND HOMECARE LLC

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

## Provider details

- **NPI number:** 1962027995
- **Authorized official:** CEDRIC IVEY (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (281) 781-7755

## Contact information

- **Practice address:** 16903 RED OAK DR STE 276, HOUSTON, TX 77090-3941
- **Practice address phone:** (281) 781-7755
- **Practice address fax:** (281) 781-7012
- **Mailing address:** 16903 RED OAK DR STE 276, HOUSTON, TX 77090-3941
- **Mailing address phone:** (281) 781-7755
- **Mailing address fax:** (281) 781-7012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2020
- **Last updated:** 09/01/2020