Divine Group Home LLC
Divine Group Home LLC is a Community/Behavioral Health Agency in Maricopa, Arizona. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
40352 W Molly Ln # AMaricopa, AZ 85138-5158
Phone: (480) 939-0573
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1972266955 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Divine Kusi — Admin · (480) 939-0573 |
| NPI enumerated | October 18, 2021 |
| Last updated in NPPES | October 21, 2021 |
| Certification date | October 21, 2021 |
| Mailing address | 40352 W Molly Ln, Maricopa, AZ 85138-5158 |
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