| NPI | 1790258523 |
|---|---|
| Former Legal Business Name | DIVINE LIFE INSTITUTE LLC |
| Entity Type | Organization |
| Authorized Contact | JEANNETTE BELIZAIRE Owner 978-381-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 310400000X Assisted Living Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 261Q00000X Clinic/Center | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |