Organization
DIVINE QUALITY CARE, LLC
Active
Other names
Divine Quality Care
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE CARROLL (DIRECTOR)
(734) 895-5864
Entity
Organization
Contact information
Practice address
44788 GREENBRIAR DR, VAN BUREN TWP, MI 48111-5137
(734) 895-5864
Mailing address
44788 GREENBRIAR DR, VAN BUREN TWP, MI 48111-5137
(734) 895-5864
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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