Organization
DIVINE WELLCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WILLIAM (MANAGER)
(480) 818-9036
Entity
Organization
Contact information
Practice address
2705 S ALMA SCHOOL RD STE 2, CHANDLER, AZ 85286-4400
(602) 830-2545
(602) 830-3021
Mailing address
2705 S ALMA SCHOOL RD STE 2, CHANDLER, AZ 85286-4400
(602) 830-2545
(602) 830-3021
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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