National Provider Identifier Database

DIVINE 5 SERVICES LLC
Transportation Broker

An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.


Contact Information

DIVINE 5 SERVICES, LLC
304 E CHURCH ST
MONROE, GA30655-2508
Phone: 770-217-1821
Fax:
Website:
Specialty Taxonomy Code
* Transportation Broker 347E00000X

* Indicates primary specialty

NPI Profile & details for DIVINE 5 SERVICES, LLC

NPI Number 1801384912
Legal business name
LBN
DIVINE 5 SERVICES, LLC
Authorized official ELANTE HARRIS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/24/2018
Last updated 06/11/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Other: 824625122 NON-MEDICAL

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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