Provider Demographics
NPI:1376242552
Name:DIVINE MISSION TRANSPORTATION
Entity Type:Organization
Organization Name:DIVINE MISSION TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORANNA
Authorized Official - Middle Name:DAPHELIA
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-737-1110
Mailing Address - Street 1:8010 W 84TH ST APT 1E
Mailing Address - Street 2:
Mailing Address - City:JUSTICE
Mailing Address - State:IL
Mailing Address - Zip Code:60458-2311
Mailing Address - Country:US
Mailing Address - Phone:708-737-1110
Mailing Address - Fax:
Practice Address - Street 1:8010 W 84TH ST APT 1E
Practice Address - Street 2:
Practice Address - City:JUSTICE
Practice Address - State:IL
Practice Address - Zip Code:60458-2311
Practice Address - Country:US
Practice Address - Phone:708-737-1110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company