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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

NPI Number 1235892159
LBN Legal business name DIVINE PERSONAL CARE AGENCY
Authorized official MELISSA SLOAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2021
Last updated 10/18/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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