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Organization
DIVINE QUALITY CARE, LLC
Active
Organization
DIVINE QUALITY CARE, LLC
Active
Other names
Divine Quality Care
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE CARROLL (DIRECTOR)
(734) 895-5864
Entity
Organization
Contact information
Practice address
44788 GREENBRIAR DR, VAN BUREN TWP, MI 48111-5137
(734) 895-5864
Mailing address
44788 GREENBRIAR DR, VAN BUREN TWP, MI 48111-5137
(734) 895-5864
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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