Organization
DESTINY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DAVION SEPHUS II (MANAGING MEMBER)
(414) 514-4555
Entity
Organization
Contact information
Practice address
5838 N 117TH ST, MILWAUKEE, WI 53225-2208
(414) 514-4555
Mailing address
5838 N 117TH ST, MILWAUKEE, WI 53225-2208
(414) 514-4555
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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