Divine 5 Services, Llc

LBN: Divine 5 Services, Llc
Divine 5 Services, Llc is an health care organization with primary practice located at 304 E Church St , Monroe GA 30655-2508. The organization recently has only one registered license in Transportation Services / Transportation Broker, which is considered as the primary health care specialty. Divine 5 Services, Llc can be contacted via phone (770) 217-1821, or through Harris, Elante via phone (770) 217-1821.

Contact Information

Primary practice address
304 E Church St Monroe GA 30655-2508
Phone: (770) 217-1821
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harris, Elante
Phone: (770) 217-1821

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Transportation Broker 347E00000X Georgia

Profile Details

NPI number 1801384912
LBN Legal business name Divine 5 Services, Llc
DBA Doing business as
Authorized official Harris, Elante
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2018
Last updated Jun 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801384912 NPPES
Georgia Other 824625122 NON-MEDICAL

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