Divinicare

LBN: Divinicare Llc
Divinicare is an health care organization with primary practice located at 868 Michigan Ave Ste A , Baldwin MI 49304-7123. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Divinicare Llc can be contacted via phone (231) 745-4697, or through Krawczak, Matthew via phone (231) 745-4697.

Contact Information

Primary practice address
868 Michigan Ave Ste A Baldwin MI 49304-7123
Phone: (231) 745-4697
Fax: (231) 745-8640
Website:
Map and Directions
Authorized official contact:
Name: Krawczak, Matthew
Phone: (231) 745-4697

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 5301010379 Michigan

Profile Details

NPI number 1114345907
LBN Legal business name Divinicare Llc
DBA Doing business as Divinicare
Authorized official Krawczak, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2014
Last updated Jun 10th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114345907 NPPES
Other 2146577 PK

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