Organization
DYVERSE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELLE WILLIAMS (MANAGING PARTNER)
(248) 910-6878
Entity
Organization
Contact information
Practice address
28475 GREENFIELD RD, SOUTHFIELD, MI 48076-3034
(248) 910-6878
(248) 352-5389
Mailing address
28475 GREENFIELD RD, SOUTHFIELD, MI 48076-3034
(248) 910-6878
(248) 352-5389
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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