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NPI Code Detail

MEDICARE: DIVINE QUALITY CARE

MEDICARE: DIVINE QUALITY CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1912388190
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIVINE QUALITY CARE
Provider Business Mailing Address
First Line : 7701 BELLFORT ST
Second Line : SUITE 7
City : HOUSTON
State : TX
Zip : 77061-1122
Country : US
Telephone Number : 832-849-1840
Fax Number : 832-538-0694
Provider Business Practice Location Address
First Line : 7701 BELLFORT ST
Second Line : SUITE 7
City : HOUSTON
State : TX
Zip : 77061-1122
Country : US
Telephone Number : 832-849-1840
Fax Number : 832-538-0694
Authorized Official
Title or Position : DIRECTOR
Name : MR. DARTALIAN HARRIS
Credential :
Telephone Number : 713-517-8174
Provider Enumeration Date : 06/14/2015
Last Update Date : 06/14/2015

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Directions to “DIVINE QUALITY CARE ” Practice Location

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