Organization
FOREVER GRACE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAUGERH LOPEZ LORENZO CEO (CEO)
(813) 316-5625
Entity
Organization
Contact information
Practice address
3108 MIDWAY RD, PLANT CITY, FL 33565-2310
(813) 316-5625
Mailing address
3108 MIDWAY RD, PLANT CITY, FL 33565-2310
(813) 316-5625
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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