Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIVINE HEALTHCARE SERVICES
Active OrganizationNursing Facility/Intermediate Care Facility · BROWN DEER, WI
Registration Details
- NPI Number
- 1982999090
- Provider Type
- Organization
- NPI Issued
- Jun 16, 2011 (14.847449540451 yrs)
- Last Updated
- Jun 16, 2011
- License
-
126208-30 (WI)
Practice Information
- Address
-
4238 W HAWTHORNE TRACE RD APT 104BROWN DEER, WI, 532091026Browse WI providers · Browse ZIP 53209
- Phone
- 4149750121
- Primary Specialty
-
Nursing Facility/Intermediate Care Facility
313M00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.