Provider Demographics
NPI:1902084866
Name:DIVINE TOUCH HEALTH SERVICES INC
Entity Type:Organization
Organization Name:DIVINE TOUCH HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ALABA
Authorized Official - Last Name:OPUROKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-380-1223
Mailing Address - Street 1:2432 W PEORIA AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-4726
Mailing Address - Country:US
Mailing Address - Phone:602-882-8203
Mailing Address - Fax:602-787-4235
Practice Address - Street 1:11930 W VILLA HERMOSA LN
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85373-5402
Practice Address - Country:US
Practice Address - Phone:602-882-8203
Practice Address - Fax:602-787-4235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-03
Last Update Date:2008-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health