| NPI | 1134956824 |
|---|---|
| Doing Business As | DIVINE GRACE AFC |
| Doing Business As | M & J HOME CARE SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | HYGINUS EZEOKOBE Administrator/ Provider 734-834-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |