Organization
DIVINEROUTE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIDUS ATNAFIE (OWNER)
(502) 915-5421
Entity
Organization
Contact information
Practice address
1000 W 5TH ST, APT 1019, TEMPE, AZ 85281
(502) 915-5421
Mailing address
3409 NORTH 7TH AVE, PMB 713, PHOENIX, AZ 85013
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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