Organization
DEVINE CARE LLC
Active
Parent organization
DEVINE CARE LLC
Other names
DEVINE CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEVINE CARE LLC
Authorized official
DAVID ORIABURE (ADMINISTRATOR)
(623) 330-6269
Entity
Organization
Contact information
Practice address
4307 W PARK PL, GLENDALE, AZ 85306-1511
(623) 330-6269
Mailing address
4307 W PARK PL, GLENDALE, AZ 85306-1511
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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