Organization
DIVINE INTERVENTION MEDICAL STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEON L. SOLOMON III LVN (ASSISTANT ADMINISTRATOR)
(832) 202-7244
Entity
Organization
Contact information
Practice address
21346 MAPLE HARVEST LN, HUMBLE, TX 77338-2039
(832) 202-7244
(713) 734-4364
Mailing address
21346 MAPLE HARVEST LN, HUMBLE, TX 77338-2039
(832) 202-7244
(713) 734-4364
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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