Organization
DIVINE HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE JOSEPH R.N (ADMINISTRATOR)
(248) 823-8772
Entity
Organization
Contact information
Practice address
2346 SAFFRON CT, TROY, MI 48085-6715
(248) 823-8772
(248) 823-5949
Mailing address
2346 SAFFRON CT, TROY, MI 48085-6715
(248) 823-8772
(248) 823-5949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704220571
MI
225100000X
Physical Therapist
5501014058
MI
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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