Divine Love LLC

NPI #1871472357 in Mequon, Wisconsin

Provider Information

NPI Number
1871472357
Entity Type
Organization
Organization Name
Divine Love LLC
Primary Specialty
Home Health
Enumeration Date
Aug 29, 2025
Last Updated
Aug 29, 2025

Practice Location

Address
11512 N PORT WASHINGTON RD STE 200
City
Mequon
ZIP Code
53092-3481
Phone
(414) 242-2838

Authorized Official

Name
TATYANA BABAKHANOV
Title
MANAGER
Phone
(414) 899-2365

Specialties & Taxonomy Codes

Specialty
Home Health

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