NPI 1003607425

Devine Assisted Living LLC

Organisation Adult Care Home Facility Goodyear, AZ

Practice location

Address: 15453 W Madison St, Goodyear, AZ 85338-3397
Phone: (602) 369-6817

Authorised official

Name: Sharice L Garner
Title: Manager/Owner
Phone: (602) 369-6817

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1003607425
Entity type: Organization
NPI issued: 15 May 2025
Record last updated: 15 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.