DIVINE GROUP HOME LLC

MARICOPA, AZ
NPI1972266955
Entity TypeOrganization
Authorized ContactDIVINE KUSI
Admin
480-939-0573
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2021-10-18
Last Update Date2021-10-21
Business Address
DIVINE GROUP HOME LLC
40352 W MOLLY LN # A
MARICOPA, AZ 85138-5158
Phone number: 480-939-0573
Mailing Address
DIVINE GROUP HOME LLC
40352 W MOLLY LN
MARICOPA, AZ 85138-5158
Phone number: 480-939-0573
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