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Organization
DIVINE LIVING HOMES
Active
Organization
DIVINE LIVING HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN OPARA (PUBLIC RELATIONSOFFICER)
(734) 262-9408
Entity
Organization
Contact information
Practice address
16214 WOODBINE ST, DETROIT, MI 48219
(313) 246-6182
(313) 766-5848
Mailing address
16214 WOODBINE ST, DETROIT, MI 48219
(313) 246-6182
(313) 766-5848
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
4704261009
MI
332BN1400X
Nursing Facility Supplies (DME)
4704283827
MI
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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