Divinity Enterprises LLC
Non-emergency Medical Transport (VAN) in Maple Grove, MN. Organization (NPI-2).
NPI number1538310982
StatusActive
Last updated in NPPESOct 3, 2008
Details
- NPI
- 1538310982
- Entity type
- Organization (NPI-2)
- Legal business name
- Divinity Enterprises LLC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2008
- Last updated
- Oct 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | pending | MN | Yes |
Practice location
8075 Magnolia Ln NMaple Grove, MN 55369-7177
Phone 651-341-6390
Mailing address
Po Box 40365Saint Paul, MN 55104-8365
Phone 651-341-6390
Authorized official
David Nyamari Nyaosi
Ceo
6513416390
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