Organization
DIVINE TRANSFORMATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALIINE WHITE (ADMINISTRATOR)
(248) 298-9217
Entity
Organization
Contact information
Practice address
18151 SANTA ANN AVE, LATHRUP VILLAGE, MI 48076-4523
(248) 569-3582
Mailing address
18151 SANTA ANN AVE, LATHRUP VILLAGE, MI 48076-4523
(248) 569-3582
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AS630301996
MI
Other
Enumeration date
01/09/2011
Last updated
01/09/2011
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