Organization
DIVINITY ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID NYAMARI NYAOSI (CEO)
(651) 341-6390
Entity
Organization
Contact information
Practice address
8075 MAGNOLIA LN N, MAPLE GROVE, MN 55369-7177
(651) 341-6390
Mailing address
PO BOX 40365, SAINT PAUL, MN 55104-8365
(651) 341-6390
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
PENDING
MN
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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