# DEVINE HOME HEALTH CARE AGENCY LLC

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

## Provider details

- **NPI number:** 1538470992
- **Authorized official:** MRS. IMA AKPABIO IBAN (OWNER)
- **Authorized official phone:** (248) 557-4665

## Contact information

- **Practice address:** 25511 SOUTHFIELD RD, SUITE 125, SOUTHFIELD, MI 48075-1856
- **Practice address phone:** (248) 557-4665
- **Practice address fax:** (248) 557-4665
- **Mailing address:** 25511 SOUTHFIELD RD, SUITE 125, SOUTHFIELD, MI 48075-1856
- **Mailing address phone:** (248) 557-4665
- **Mailing address fax:** (248) 557-4665

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2010
- **Last updated:** 09/09/2010