Organization
DEVINE DESTINY ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID OHANIAN (OWNER)
(623) 693-4750
Entity
Organization
Contact information
Practice address
16427 W WATKINS ST, GOODYEAR, AZ 85338-9713
(623) 882-8144
Mailing address
16427 W WATKINS ST, GOODYEAR, AZ 85338-9713
(623) 882-8144
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7558H
AZ
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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