Provider Demographics
NPI:1932699493
Name:DIVINE ASSIGNMENT CARE SERVICES LLC
Entity Type:Organization
Organization Name:DIVINE ASSIGNMENT CARE SERVICES LLC
Other - Org Name:D.A TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANOVIA
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-205-0085
Mailing Address - Street 1:36475 FRANCINE CIR S
Mailing Address - Street 2:
Mailing Address - City:GEISMAR
Mailing Address - State:LA
Mailing Address - Zip Code:70734-3144
Mailing Address - Country:US
Mailing Address - Phone:225-205-0085
Mailing Address - Fax:
Practice Address - Street 1:36475 FRANCINE CIR S
Practice Address - Street 2:
Practice Address - City:GEISMAR
Practice Address - State:LA
Practice Address - Zip Code:70734-3144
Practice Address - Country:US
Practice Address - Phone:225-205-0085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)