Divine Mercy LLC.
Non-emergency Medical Transport (VAN) in Brooklyn Park, MN. Organization (NPI-2).
NPI number1780876136
StatusActive
Last updated in NPPESAug 9, 2007
Details
- NPI
- 1780876136
- Entity type
- Organization (NPI-2)
- Legal business name
- Divine Mercy LLC.
- Organization subpart
- No
- Enumeration date
- Aug 9, 2007
- Last updated
- Aug 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | 371716 | MN | Yes |
Practice location
7740 Dupont Ave NBrooklyn Park, MN 55444-2154
Phone 612-310-8383 · Fax 763-560-1604
Mailing address
7740 Dupont Ave NBrooklyn Park, MN 55444-2154
Phone 612-310-8383 · Fax 763-560-1604
Authorized official
Francis Yinka Awotoye
Owner
6123108383
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