Divine Grace Residential Care Llc

LBN: Divine Grace Residential Care Llc
Divine Grace Residential Care Llc is an health care organization with primary practice located at 4120 N 105Th Ln , Phoenix AZ 85037-5843. 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 Grace Residential Care Llc can be contacted via phone (623) 272-0428, or through Onyepunuka, Sabestine via phone (623) 512-1675.

Contact Information

Primary practice address
4120 N 105Th Ln Phoenix AZ 85037-5843
Phone: (623) 272-0428
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Onyepunuka, Sabestine
Phone: (623) 512-1675

Health care specialties

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

Profile Details

NPI number 1366148421
LBN Legal business name Divine Grace Residential Care Llc
DBA Doing business as
Authorized official Onyepunuka, Sabestine
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2023
Last updated Feb 1st, 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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