Organization · Type 2 NPI
Divine Healthcare Services
Nursing Facility/Intermediate Care Facility · Brown Deer, WI
Practice location
4238 W Hawthorne Trace Rd Apt 104
Brown Deer, WI 53209-1026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 126208-30 (WI) |
Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…
Another provider at this address
About NPI 1982999090
Divine Healthcare Services's National Provider Identifier is 1982999090, issued on Jun 16, 2011. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Brown Deer, WI. The record was last updated on Jun 16, 2011.