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Organization

DEVINE ASSISTED LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARICE L GARNER (MANAGER/OWNER)
(602) 369-6817
Entity
Organization

Contact information

Practice address
15453 W MADISON ST, GOODYEAR, AZ 85338-3397
(602) 369-6817
Mailing address
15453 W MADISON ST, GOODYEAR, AZ 85338-3397
(602) 369-6817

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
05/15/2025
Last updated
05/15/2025
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