# DIVINE WELLCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992538847
- **Authorized official:** GEORGE WILLIAM (MANAGER)
- **Authorized official phone:** (480) 818-9036

## Contact information

- **Practice address:** 2705 S ALMA SCHOOL RD STE 2, CHANDLER, AZ 85286-4400
- **Practice address phone:** (602) 830-2545
- **Practice address fax:** (602) 830-3021
- **Mailing address:** 2705 S ALMA SCHOOL RD STE 2, CHANDLER, AZ 85286-4400
- **Mailing address phone:** (602) 830-2545
- **Mailing address fax:** (602) 830-3021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332U00000X | Home Delivered Meals | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/24/2024
- **Last updated:** 08/24/2024