Organization
DIVINE HEALING SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUISHA MARTIN (OWNER)
(214) 489-7852
Entity
Organization
Contact information
Practice address
13465 MIDWAY RD STE 450, DALLAS, TX 75244-5204
(214) 489-7852
Mailing address
13465 MIDWAY ROAD SUITE 450, DALLAS, TX 75244-5204
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
11/14/2025
Last updated
02/18/2026
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