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1H

1 HEAVENLY DIVINE ADULT FAMILY HOMES LLC

Custodial Care Facility

OIG CLEARNPI VERIFIED
Location
MILWAUKEE, WI
Licensed since
2022
Rate
Federal identifiers
NPI registry number1952051211
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameKATHY JONES
TitleOWNER
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