Provider Demographics
NPI:1437325453
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:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ALABA
Authorized Official - Last Name:OPUROKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-864-5040
Mailing Address - Street 1:3442 W PARADISE DRIVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029
Mailing Address - Country:US
Mailing Address - Phone:602-864-5040
Mailing Address - Fax:602-864-5016
Practice Address - Street 1:1917 W GLENDALE AVE STE 5
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-7861
Practice Address - Country:US
Practice Address - Phone:602-864-5040
Practice Address - Fax:602-864-5016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLOP37173251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health