Organization
DEVINE HOME HEALTH CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IMA AKPABIO IBAN (OWNER)
(248) 557-4665
Entity
Organization
Contact information
Practice address
25511 SOUTHFIELD RD, SUITE 125, SOUTHFIELD, MI 48075-1856
(248) 557-4665
(248) 557-4665
Mailing address
25511 SOUTHFIELD RD, SUITE 125, SOUTHFIELD, MI 48075-1856
(248) 557-4665
(248) 557-4665
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
09/09/2010
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