Organization
RJR SARMIENTO COMPANY, LLC
Active
Other names
Divinity Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLDAN P SARMIENTO (OWNER/ADMINISTRATOR)
(586) 978-2359
Entity
Organization
Contact information
Practice address
2107 E 14 MILE RD, 110, STERLING HEIGHTS, MI 48310-5970
(586) 978-2359
(586) 978-2372
Mailing address
2107 E 14 MILE RD, 110, STERLING HEIGHTS, MI 48310-5970
(586) 978-2359
(586) 978-2372
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
508011
MI
Other
Enumeration date
11/03/2005
Last updated
08/22/2020
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