Organization
DIVINE CARE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LACHELLE M HANEY (OWNER)
(414) 759-9325
Entity
Organization
Contact information
Practice address
N34W23199 CIRCLE RIDGE RD APT 110, PEWAUKEE, WI 53072-5776
(414) 759-9325
Mailing address
N19W24400 RIVERWOOD DR STE 350, WAUKESHA, WI 53188-1182
(262) 222-2806
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
02/18/2022
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