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Organization

THE DIVINE WJC, LLC

Active
Parent organization
THE DIVINE WJC LLC
Other names
PRESTIGIOUS CARRIERS
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE DIVINE WJC LLC
Authorized official
MRS. WAUNDLYAN L PETE (OWNER)
(281) 652-7010
Entity
Organization

Contact information

Practice address
1011 TERRANOVA LN, HOUSTON, TX 77090-1236
(281) 652-7010
Mailing address
PO BOX 73347, HOUSTON, TX 77273-3347
(281) 652-7010

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Enumeration date
01/26/2022
Last updated
08/14/2022
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