Divine Embrace Residential Homes

LBN: Divine Embrace Residential Homes
Divine Embrace Residential Homes is an health care organization with primary practice located at 18444 N 25Th Ave Ste 420 , Phoenix AZ 85023-1268. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Divine Embrace Residential Homes can be contacted via phone (623) 887-0400, or through Willis, La Tanya via phone (623) 887-0400.

Contact Information

Primary practice address
18444 N 25Th Ave Ste 420 Phoenix AZ 85023-1268
Phone: (623) 887-0400
Fax: (623) 887-0402
Website:
Map and Directions
Authorized official contact:
Name: Willis, La Tanya Family Nurse Practitioner (FNP)
Phone: (623) 887-0400

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1063159069
LBN Legal business name Divine Embrace Residential Homes
DBA Doing business as
Authorized official Willis, La Tanya Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2022
Last updated Sep 29th, 2023 - about last year

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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