Divine Personal Care Agency

NPI #1376378521 in Mequon, Wisconsin

Provider Information

NPI Number: 1376378521
Entity Type: Organization
Organization Name: Divine Personal Care Agency
Primary Specialty: In Home Supportive Care
Enumeration Date: Sep 6, 2024
Last Updated: Sep 6, 2024

Practice Location

Address: 1009 W GLEN OAKS LN STE 201
City: Mequon
State: Wisconsin
ZIP Code: 53092-3383
Phone: (414) 309-9700

Authorized Official

Name: MELISSA ANN SLOAN
Title: CEO/MANAGER
Phone: (414) 232-3962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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