| 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 |