Organization
DIVINE INVESTMENT LLC
Active
Other names
DIVINE TRANSPORTATION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSH GODSPOWER-ODIONG LPN (MANAGER)
(216) 526-6024
Entity
Organization
Contact information
Practice address
329 HALLE DR, EUCLID, OH 44132-1023
(216) 520-6024
(216) 255-6633
Mailing address
329 HALLE DR, EUCLID, OH 44132-1023
(216) 520-6024
(216) 255-6633
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
189435
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090624
—
OH
Enumeration date
09/02/2014
Last updated
09/02/2014
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