Divine Living Home, LLC

NPI #1275231037 in Monona, Wisconsin

Provider Information

NPI Number
1275231037
Entity Type
Organization
Organization Name
Divine Living Home, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 21, 2023
Last Updated
Feb 21, 2023

Practice Location

Address
4607 GORDON AVE
City
Monona
ZIP Code
53716-1017
Phone
(608) 906-2037

Authorized Official

Name
KAYI S MESSANVI
Title
ADMINISTRATOR
Phone
(608) 906-2037

Specialties & Taxonomy Codes

Specialty
Respite Care
Assisted Living Facility

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