Organization
DIVINE TRANSPORTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSETTA STRONG (PRESIDENT)
(414) 803-1043
Entity
Organization
Contact information
Practice address
N86W16351 APPLETON AVE, APT.28, MENOMONEE FLS, WI 53051-2977
(414) 803-1043
(262) 415-5609
Mailing address
N86W16351 APPLETON AVE, APT.28, MENOMONEE FLS, WI 53051-2977
(414) 803-1043
(262) 415-5609
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0201086
WI
Other
Enumeration date
09/12/2015
Last updated
09/12/2015
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