Organization
GRACE 24 RIDE LLC
Active
Other names
GRACE 24 RIDE
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN A REDIAT (MANAGER)
(619) 677-8217
Entity
Organization
Contact information
Practice address
66 ROCKY CREEK DR APT 66, COLUMBUS, OH 43230-2621
(619) 677-8217
Mailing address
66 ROCKY CREEK DR APT 66, COLUMBUS, OH 43230-2621
(619) 677-8217
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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