# DIVINITY HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1497887327
- **Authorized official:** MS. WILMA JEAN HARRIS RN, MSN (OWNER)
- **Authorized official phone:** (313) 690-7456

## Contact information

- **Practice address:** 30685 BARRINGTON ST, SUITE 125, MADISON HEIGHTS, MI 48071-5111
- **Practice address phone:** (248) 583-2733
- **Practice address fax:** (248) 583-4233
- **Mailing address:** 30685 BARRINGTON ST, SUITE 125, MADISON HEIGHTS, MI 48071-5111
- **Mailing address phone:** (313) 690-7456
- **Mailing address fax:** (248) 583-4233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 07/08/2010
