Organization
DIVINE PERSONAL CARE AGENCY
Active
Other names
Divine Personal Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A SLOAN (OWNER)
(414) 232-3962
Entity
Organization
Contact information
Practice address
8330 N TEUTONIA AVE STE 200, BROWN DEER, WI 53209-1550
(414) 236-5608
(414) 236-5632
Mailing address
8330 N TEUTONIA AVE STE 200, BROWN DEER, WI 53209-1550
(414) 236-5608
(414) 236-5632
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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