Divine Destiny Enterprise LLC
NPI #1477253425 in Fairburn, Georgia
Provider Information
- NPI Number
- 1477253425
- Entity Type
- Organization
- Organization Name
- Divine Destiny Enterprise LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Mar 8, 2023
- Last Updated
- Mar 8, 2023
Practice Location
Authorized Official
- Name
- SHELATHUM MOORE
- Title
- MEMBER
- Phone
- (678) 394-6573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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