# DIVINE 5 SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801384912
- **Authorized official:** ELANTE HARRIS (CEO)
- **Authorized official phone:** (770) 217-1821

## Contact information

- **Practice address:** 304 E CHURCH ST, MONROE, GA 30655-2508
- **Practice address phone:** (770) 217-1821
- **Mailing address:** 304 E CHURCH ST, MONROE, GA 30655-2508
- **Mailing address phone:** (770) 217-1821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347E00000X | Transportation Broker | — | GA | Yes |

## Other

- **Enumeration date:** 04/24/2018
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 824625122 | NON-MEDICAL | GA |