Divine 4 Support LLC
NPI #1790558393 in Eastpointe, Michigan
Provider Information
- NPI Number
- 1790558393
- Entity Type
- Organization
- Organization Name
- Divine 4 Support LLC
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Nov 6, 2023
- Last Updated
- Jan 10, 2025
Practice Location
- Address
- 15378 VERONICA AVE
- City
- Eastpointe
- State
- Michigan
- ZIP Code
- 48021-3636
- Phone
- (313) 477-9642
Authorized Official
- Name
- MONIQUE BOYD
- Title
- OWNER
- Phone
- (313) 477-9642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Home Health |
| Technician - Attendant Care Provider — Attendant Care Provider |
| Technician - Personal Care Attendant — Personal Care Attendant |
| Nursing Home Administrator |
| Home Health Aide |
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