Organization
DIVINITY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WILMA JEAN HARRIS RN, MSN (OWNER)
(313) 690-7456
Entity
Organization
Contact information
Practice address
30685 BARRINGTON ST, SUITE 125, MADISON HEIGHTS, MI 48071-5111
(248) 583-2733
(248) 583-4233
Mailing address
30685 BARRINGTON ST, SUITE 125, MADISON HEIGHTS, MI 48071-5111
(313) 690-7456
(248) 583-4233
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
07/08/2010
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