Organization
DIVINE TRANSPORT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KWAKU BONSU (OWNER)
(614) 638-3466
Entity
Organization
Contact information
Practice address
7306 COOK FARM DR, REYNOLDSBURG, OH 43068-7074
(614) 638-3466
Mailing address
7306 COOK FARM DR, REYNOLDSBURG, OH 43068-7074
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
235055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151757
—
OH
Enumeration date
03/27/2017
Last updated
03/27/2017
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