Organization
D'VINA'S ADULT FAMILY HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE FLORES (OWNER/OPERATOR)
(920) 901-7044
Entity
Organization
Contact information
Practice address
1402 S 9TH ST, MANITOWOC, WI 54220-5703
(920) 901-7044
Mailing address
1402 S 9TH ST, MANITOWOC, WI 54220-5703
(920) 901-7044
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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