Organization
DIVINE EXPRESS TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEXTER CROUCH (CEO)
(317) 945-3947
Entity
Organization
Contact information
Practice address
14872 BELLAMY CT, FISHERS, IN 46037-5545
(317) 945-3947
Mailing address
14872 BELLAMY CT, FISHERS, IN 46037-5545
(317) 945-3947
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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