Organization
PEGGIE DIVINE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WILLIEANNE MULL (OWNER)
(314) 319-4990
Entity
Organization
Contact information
Practice address
3756 S BROADWAY, SAINT LOUIS, MO 63118-4029
(314) 319-4990
Mailing address
3756 S BROADWAY, SAINT LOUIS, MO 63118-4029
(314) 319-4990
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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