Organization
NICE AND CLEAN MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA T GRAHAM (ADMIN)
(386) 754-8889
Entity
Organization
Contact information
Practice address
196 NW PROCTOR GLN, LAKE CITY, FL 32055-7622
(850) 363-9306
(855) 326-8575
Mailing address
196 NW PROCTOR GLN, LAKE CITY, FL 32055-7622
(850) 363-9306
(855) 326-8575
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
01/14/2026
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