Provider Demographics
NPI:1225899180
Name:DVINE ALIGNMENT MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:DVINE ALIGNMENT MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-996-8686
Mailing Address - Street 1:44 LIVINGSTON ST # 44-1
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-4289
Mailing Address - Country:US
Mailing Address - Phone:973-996-8686
Mailing Address - Fax:
Practice Address - Street 1:44 LIVINGSTON ST # 44-1
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-4289
Practice Address - Country:US
Practice Address - Phone:973-996-8686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)