Organization
DEVINE SERENITY TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHELSEY DAVIS (OWNER)
(312) 841-3232
Entity
Organization
Contact information
Practice address
2130 N 32ND ST, MILWAUKEE, WI 53208-1422
(312) 841-3232
Mailing address
2130 N 32ND ST, MILWAUKEE, WI 53208-1422
(312) 841-3232
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
D1201188990900
WI
343900000X
Non-emergency Medical Transport (VAN)
Primary
D1201188990900
WI
344600000X
Taxi
D1201188990900
WI
347C00000X
Private Vehicle
D1201188990900
WI
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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