# DIVINITY FACILITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447980768
- **Authorized official:** SONYA SMITH (ADMINISTRATOR)
- **Authorized official phone:** (313) 805-4727

## Contact information

- **Practice address:** 35523 AVONDALE ST, WESTLAND, MI 48186-4160
- **Practice address phone:** (313) 805-4727
- **Practice address fax:** (248) 924-2032
- **Mailing address:** PO BOX 479, SAINT CLAIR SHORES, MI 48080-0479
- **Mailing address phone:** (313) 805-4727
- **Mailing address fax:** (248) 924-2032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2022
- **Last updated:** 06/10/2022