Organization
DEVINE HOLISTIC HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINNET MOMOH (OWNER/ADMINISTRATOR)
(972) 533-5163
Entity
Organization
Contact information
Practice address
3012 FAIRVIEW DR, GRAND PRAIRIE, TX 75052-0443
(972) 533-6163
(817) 472-9046
Mailing address
3012 FAIRVIEW DR, GRAND PRAIRIE, TX 75052-0443
(972) 533-6163
(817) 472-9046
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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