Organization · Type 2 NPI

Divine Grace Country Home Llc.

Adult Care Home Facility · Niles, MI

NPI number 1780386730 Active

Practice location

7720 Wright Rd
Niles, MI 49120-9071

Mailing address

PO Box 243
Baroda, MI 49101-0243

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

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.

About NPI 1780386730

Divine Grace Country Home Llc.'s National Provider Identifier is 1780386730, issued on Mar 21, 2023. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Niles, MI. The record was last updated on Mar 21, 2023.