Organization
AMAZING GRACE VAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JASMINE NICOLE ELAIRE (OWNER)
(337) 212-4538
Entity
Organization
Contact information
Practice address
346 HUVAL ST, LAFAYETTE, LA 70501-4114
(337) 212-4538
Mailing address
346 HUVAL ST, LAFAYETTE, LA 70501-4114
(337) 212-4538
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/13/2021
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