Divine Transit, LLC
NPI #1316426166 in Forest, Mississippi
Provider Information
- NPI Number
- 1316426166
- Entity Type
- Organization
- Organization Name
- Divine Transit, LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Aug 13, 2018
- Last Updated
- Aug 13, 2018
Practice Location
- Address
- 511 N BROAD ST
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074-3511
- Phone
- (601) 405-2116
Authorized Official
- Name
- PHAREN NELSON-BURKETT
- Title
- CEO
- Phone
- (601) 405-2116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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