Divine Healthcare Services
Divine Healthcare Services is a Nursing Facility/Intermediate Care Facility in Brown Deer, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.
- Licensed in
- WI
- In the registry since
- 2011
Practice location Address checks out
4238 W Hawthorne Trace Rd Apt 104Brown Deer, WI 53209-1026
Phone: (414) 975-0121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X · Licence 126208-30 (WI) |
|---|
Record details
| NPI number | 1982999090 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gold Omereonye — Owner · (414) 975-0121 |
| NPI enumerated | June 16, 2011 |
| Last updated in NPPES | June 16, 2011 |
| Mailing address | 4238 W Hawthorne Trace Rd Apt 104, Brown Deer, WI 53209-1026 |