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Organization

DIVINE TRANSFORMATIONS, LLC

Active
Parent organization
DIVINE TRANSFORMATIONS ADULT DAY CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIVINE TRANSFORMATIONS ADULT DAY CENTER
Authorized official
MRS. ROSALINE LENETTE WHITE (OWNER/SUPERVISOR)
(248) 298-9217
Entity
Organization

Contact information

Practice address
1186 LAWRENCE ST, DETROIT, MI 48202-1029
(313) 215-3181
(313) 731-7656
Mailing address
18151 SANTA ANN AVE, LATHRUP VILLAGE, MI 48076-4523
(313) 215-3181
(313) 731-7656

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS630301996
MI

Other

Enumeration date
02/24/2014
Last updated
02/24/2014
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