Divine Group Home Llc

LBN: Divine Group Home Llc
Divine Group Home Llc is an health care organization with primary practice located at 40352 W Molly Ln # A , Maricopa AZ 85138-5158. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Divine Group Home Llc can be contacted via phone (480) 939-0573, or through Kusi, Divine via phone (480) 939-0573.

Contact Information

Primary practice address
40352 W Molly Ln # A Maricopa AZ 85138-5158
Phone: (480) 939-0573
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kusi, Divine
Phone: (480) 939-0573

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1972266955
LBN Legal business name Divine Group Home Llc
DBA Doing business as
Authorized official Kusi, Divine
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2021
Last updated Oct 21st, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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