NPI | 1164615290 |
---|---|
Doing Business As | DIVINITY HOME CARE |
Entity Type | Organization |
Authorized Contact | TATJANA TINA SAVICH Administrator/Owner 586-978-2359 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MI D2244G) |
Additional Taxonomies | 163WH0200X Registered Nurse Home Health |
Enumeration Date | 2007-08-22 |
Last Update Date | 2010-11-09 |