Organization
DIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC
Active
Organization
DIVINE ASSURANCE BEHAVIORAL HEALTH RESIDENTAIL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS OLATUNDE (CEO)
(602) 628-6708
Entity
Organization
Contact information
Practice address
17496 W ELAINE DR, GOODYEAR, AZ 85338-1981
(602) 628-6708
Mailing address
17496 W ELAINE DR, GOODYEAR, AZ 85338-1981
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up