Organization
DIVINE DIAMOND HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEDRIC IVEY (OWNER/ADMINISTRATOR)
(281) 781-7755
Entity
Organization
Contact information
Practice address
16903 RED OAK DR STE 276, HOUSTON, TX 77090-3941
(281) 781-7755
(281) 781-7012
Mailing address
16903 RED OAK DR STE 276, HOUSTON, TX 77090-3941
(281) 781-7755
(281) 781-7012
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
09/01/2020
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