Provider Demographics
NPI:1689111098
Name:DIVINE SAFE AND RELIABLE NON MEDICAL EMERGENCY TRANSPORTATION COMPANY
Entity Type:Organization
Organization Name:DIVINE SAFE AND RELIABLE NON MEDICAL EMERGENCY TRANSPORTATION COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-551-8876
Mailing Address - Street 1:820 S MACARTHUR BLVD
Mailing Address - Street 2:STE 105-308
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4216
Mailing Address - Country:US
Mailing Address - Phone:214-551-8876
Mailing Address - Fax:
Practice Address - Street 1:820 S MACARTHUR BLVD
Practice Address - Street 2:STE 105-308
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4216
Practice Address - Country:US
Practice Address - Phone:214-551-8876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)