Organization
DYVONNE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY YVONNE HARE (PRESIDENT)
(404) 348-6786
Entity
Organization
Contact information
Practice address
790 NORTH AVENUE, FOREST PARK, GA 30297-1430
(404) 348-6786
Mailing address
P.O. BOX 2652, FOREST PARK, GA 30298-2652
(404) 348-6786
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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