Organization
GRACEFULLY IN LOVE LOGISTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL REED (CEO)
(470) 455-1106
Entity
Organization
Contact information
Practice address
5432 NUTHATCH ST, DALLAS, TX 75236-2106
(470) 455-1106
Mailing address
5432 NUTHATCH ST, DALLAS, TX 75236-2106
(470) 455-1106
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417890701
—
TX
Enumeration date
08/20/2020
Last updated
04/07/2021
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