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Organization
DIVINITY HOME HEALTH CARE LLC
Active
Organization
DIVINITY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WILMA JEAN HARRIS RN, MSN (OWNER)
(313) 690-7456
Entity
Organization
Contact information
Practice address
30685 BARRINGTON ST, SUITE 125, MADISON HEIGHTS, MI 48071-5111
(248) 583-2733
(248) 583-4233
Mailing address
30685 BARRINGTON ST, SUITE 125, MADISON HEIGHTS, MI 48071-5111
(313) 690-7456
(248) 583-4233
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
03/09/2007
Last updated
07/08/2010
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