Provider Demographics
NPI:1689392888
Name:RAYANU'S DI'VINE SECURITY LLC
Entity Type:Organization
Organization Name:RAYANU'S DI'VINE SECURITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIAUNA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:RAYANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-262-5390
Mailing Address - Street 1:7318 S GARNETT RD APT 525
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-8689
Mailing Address - Country:US
Mailing Address - Phone:918-262-5390
Mailing Address - Fax:
Practice Address - Street 1:7318 S GARNETT RD APT 525
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-8689
Practice Address - Country:US
Practice Address - Phone:918-262-5390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty