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Organization
MIDWEST DIVINE HOME HELP SERVICES, LLC
Active
Organization
MIDWEST DIVINE HOME HELP SERVICES, LLC
Active
Other names
Midwest Divine Compassionate Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKSON BYIRINGIRO (MANAGER AND CHAIRMAN)
(616) 318-3760
Entity
Organization
Contact information
Practice address
2715 ARBOR CHASE DR NE, GRAND RAPIDS, MI 49525-9451
(616) 318-3760
Mailing address
6673 VANTAGE DR SE, CALEDONIA, MI 49316-9079
(616) 318-3760
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
—
NULL
163WC1600X
Continuing Education/Staff Development Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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