| NPI | 1295563195 |
|---|---|
| Former Legal Business Name | DIVINE LIFE HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | DEBRA DENISE MITCHELL Operating Manager 313-459-6791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |