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Contact Information

DIVINE PERSONAL CARE AGENCY
8330 N TEUTONIA AVE STE 200
BROWN DEER, WI53209-1550
 Phone: 414-236-5608
 Fax: 414-236-5632
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for DIVINE PERSONAL CARE AGENCY · (Female)

NPI # 1235892159
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2021
Last updated 10/18/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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