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Organization

DIVINE SOLAR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHIKA ANTHONY UDECHUKWU (CEO)
(972) 515-0342
Entity
Organization

Contact information

Practice address
10505 PROVIDENCE DR UNIT 106, JOHNSTON, IA 50131-4738
(972) 515-0342
Mailing address
1025 TOULOUSE ST, BELTON, MO 64012-6101
(972) 515-0342

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
IA

Other

Enumeration date
03/18/2018
Last updated
03/18/2018
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