Organization
GRAY ROAD TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEVON WALI GRAY SR. DRIVER (OWNER)
(504) 677-6157
Entity
Organization
Contact information
Practice address
341 CAPT G BOURGEOIS ST, LA PLACE, LA 70068-4717
(504) 913-4424
Mailing address
341 CAPT G BOURGEOIS ST, LA PLACE, LA 70068-4717
(504) 677-6157
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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