Provider Demographics
NPI:1912388190
Name:DIVINE QUALITY CARE
Entity Type:Organization
Organization Name:DIVINE QUALITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DARTALIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-517-8174
Mailing Address - Street 1:7701 BELLFORT ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-1122
Mailing Address - Country:US
Mailing Address - Phone:832-849-1840
Mailing Address - Fax:832-538-0694
Practice Address - Street 1:7701 BELLFORT ST
Practice Address - Street 2:SUITE 7
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-1122
Practice Address - Country:US
Practice Address - Phone:832-849-1840
Practice Address - Fax:832-538-0694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-14
Last Update Date:2015-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health