Provider Demographics
NPI:1124588207
Name:DIVINE HOPE TRANSPORTATION INC
Entity Type:Organization
Organization Name:DIVINE HOPE TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:BONITA
Authorized Official - Last Name:WORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-651-8221
Mailing Address - Street 1:3859 FIELDSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-3249
Mailing Address - Country:US
Mailing Address - Phone:863-651-8221
Mailing Address - Fax:863-875-5351
Practice Address - Street 1:3859 FIELDSTONE CIR
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-3249
Practice Address - Country:US
Practice Address - Phone:863-651-8221
Practice Address - Fax:863-875-5351
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIVINE HOPE TRANSPORTATION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-23
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health