DIVINE TRANSFORMATIONS, LLC

Facility Information

Facility Name

DIVINE TRANSFORMATIONS, LLC

Type / Classification

Assisted Living Facility

Address

18151 SANTA ANN AVE, LATHRUP VILLAGE, MI 48076

Phone Number

(248) 569-3582

NPI Number

1912201732

Authorized Official

ROSALIINE WHITE (Administrator)

Enumeration Date

2011-01-09