Divine Transformations, LLC
NPI #1912201732 in Lathrup Village, Michigan
Provider Information
- NPI Number
- 1912201732
- Entity Type
- Organization
- Organization Name
- Divine Transformations, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 9, 2011
- Last Updated
- Jan 9, 2011
Practice Location
- Address
- 18151 SANTA ANN AVE
- City
- Lathrup Village
- State
- Michigan
- ZIP Code
- 48076-4523
- Phone
- (248) 569-3582
Authorized Official
- Name
- MRS. ROSALIINE WHITE
- Title
- ADMINISTRATOR
- Phone
- (248) 298-9217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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