Organization
A DIVINE DAISY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DURIONTE MATTHEWS (OWNER/CEO)
(972) 330-1687
Entity
Organization
Contact information
Practice address
2403 BAL HARBOUR DR, MISSOURI CITY, TX 77459-7140
(972) 330-1687
Mailing address
2403 BAL HARBOUR DR, MISSOURI CITY, TX 77459-7140
(972) 330-1687
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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