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Organization

HEAVENLY DIVINE PERSONAL CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHA V DAVIS (OWNER)
(414) 274-9789
Entity
Organization

Contact information

Practice address
W169N11506 BISCAYNE DR, GERMANTOWN, WI 53022-3228
(414) 274-9789
Mailing address
W169N11506 BISCAYNE DR, GERMANTOWN, WI 53022-3228
(414) 275-4748

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
02/18/2026
Last updated
03/02/2026
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