Organization
DIVINITY FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA SMITH (ADMINISTRATOR)
(313) 805-4727
Entity
Organization
Contact information
Practice address
35523 AVONDALE ST, WESTLAND, MI 48186-4160
(313) 805-4727
(248) 924-2032
Mailing address
PO BOX 479, SAINT CLAIR SHORES, MI 48080-0479
(313) 805-4727
(248) 924-2032
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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