Organization
FAITH N GRACE TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARANJA LEWIS (OWNER)
(575) 408-6497
Entity
Organization
Contact information
Practice address
15632 N 156TH LN, SURPRISE, AZ 85374-8813
(575) 408-6497
Mailing address
5350 W BELL RD STE C122, GLENDALE, AZ 85308-3907
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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