Organization
DIVINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSA GIWA (MANAGER)
(347) 830-0772
Entity
Organization
Contact information
Practice address
4607 TONNELLE AVE APT 305, NORTH BERGEN, NJ 07047-3076
(347) 830-0772
Mailing address
4607 TONNELLE AVE APT 305, NORTH BERGEN, NJ 07047-3076
(347) 830-0772
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/05/2023
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