Organization
DIVINE LIFE HOME CARE LLC
Active
Other names
Divine Life Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA DENISE MITCHELL (OPERATING MANAGER)
(313) 459-6791
Entity
Organization
Contact information
Practice address
1865 S LIDDESDALE ST, DETROIT, MI 48217-1145
(313) 459-6791
Mailing address
1865 S LIDDESDALE ST, DETROIT, MI 48217-1145
(313) 459-6791
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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