MEDICARE: DIVINE TOUCH HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	LOP37173	AZ

General Provider Information

NPI Number	:	1437325453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVINE TOUCH HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	3442 W PARADISE DRIVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029
Country	:	US
Telephone Number	:	602-864-5040
Fax Number	:	602-864-5016

Provider Business Practice Location Address
First Line	:	1917 W GLENDALE AVE STE 5
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-7861
Country	:	US
Telephone Number	:	602-864-5040
Fax Number	:	602-864-5016

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CATHERINE ALABA OPUROKU
Credential	:
Telephone Number	:	602-864-5040

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	12/18/2014

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