| Devine Care Llc | |
|
7113 S 74th Ln Laveen AZ 85339-5094 | |
| (623) 330-6269 | |
| Not Available |
| Full Name | Devine Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7113 S 74th Ln, Laveen, Arizona |
| Authorized Official Name and Position | David Oriabure (ADMINISTRATOR) |
| Authorized Official Contact | 6233306269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devine Care Llc 7113 S 74th Ln Laveen AZ 85339-5094 Ph: (623) 330-6269 | Devine Care Llc 7113 S 74th Ln Laveen AZ 85339-5094 Ph: (623) 330-6269 |
| NPI Number | 1427890458 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427890458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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