| NPI | 1760246920 |
|---|---|
| Former Legal Business Name | DIVINE HOME HEALTH CARE LLC |
| Entity Type | Organization |
| Authorized Contact | SYLVIA ELENA MCKINNEY Owner 414-719-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |