Organization
DIVINE MERCY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS YINKA AWOTOYE (OWNER)
(612) 310-8383
Entity
Organization
Contact information
Practice address
7740 DUPONT AVE N, BROOKLYN PARK, MN 55444-2154
(612) 310-8383
(763) 560-1604
Mailing address
7740 DUPONT AVE N, BROOKLYN PARK, MN 55444-2154
(612) 310-8383
(763) 560-1604
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
371716
MN
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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