Our Destiny, Llc.

LBN: Our Destiny, Llc.
Our Destiny, Llc. is an health care organization with primary practice located at 7211 W Brentwood Ave , Milwaukee WI 53223-6125. The organization recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as the primary health care specialty. Our Destiny, Llc. can be contacted via phone (414) 349-1012, or through Fuller, Katina via phone (414) 349-1012.

Contact Information

Primary practice address
7211 W Brentwood Ave Milwaukee WI 53223-6125
Phone: (414) 349-1012
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Katina
Phone: (414) 349-1012

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1184805244
LBN Legal business name Our Destiny, Llc.
DBA Doing business as
Authorized official Fuller, Katina
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated Nov 16th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184805244 NPPES
Wisconsin MEDICAID 41483500

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