Organization · Type 2 NPI

Divine Transformations, LLC

Adult Care Home Facility · Detroit, MI

NPI number 1760807002 Active

Practice location

1186 Lawrence St
Detroit, MI 48202-1029

Call (313) 215-3181 Map

Fax (313) 731-7656

Mailing address

18151 Santa Ann Ave
Lathrup Village, MI 48076-4523

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XAS630301996 (MI)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1760807002

Divine Transformations, LLC's National Provider Identifier is 1760807002, issued on Feb 24, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Detroit, MI. The record was last updated on Feb 24, 2014.