| NPI | 1154106649 |
|---|---|
| Doing Business As | YOUR DIVINE CARE |
| Entity Type | Organization |
| Authorized Contact | ANGEL MOORE Managing Employee 269-903-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |