Organization
TRULY DIVINE HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELECIA O CLARK (HOME HEALTH AID)
(313) 996-9111
Entity
Organization
Contact information
Practice address
18 CORA ST, RIVER ROUGE, MI 48218-1202
(313) 996-9111
Mailing address
18 CORA ST, RIVER ROUGE, MI 48218-1202
(313) 996-9111
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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