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Organization
DIVINE HOMECARE AGENCY LLC
Active
Organization
DIVINE HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA REEVEY (OWNER)
(248) 805-3511
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD STE 455, SOUTHFIELD, MI 48075-3740
(248) 805-3511
Mailing address
23077 GREENFIELD RD STE 455, SOUTHFIELD, MI 48075-3740
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/16/2024
Last updated
10/25/2024
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