Provider Demographics
NPI:1750524310
Name:DIVINE ANGELS TRANSPORT
Entity type:Organization
Organization Name:DIVINE ANGELS TRANSPORT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LOGISTICS ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-636-9468
Mailing Address - Street 1:12722 PORTER MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1959
Mailing Address - Country:US
Mailing Address - Phone:713-636-9468
Mailing Address - Fax:877-513-5966
Practice Address - Street 1:12722 PORTER MEADOW LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1959
Practice Address - Country:US
Practice Address - Phone:713-636-9468
Practice Address - Fax:877-513-5966
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GID GET IT DONE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
347C00000X
MC-624174-B347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No347C00000XTransportation ServicesPrivate Vehicle