Organization
MCCLAIN'S TRAVELING GRACE MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MCCLAIN SR. (REGISTERED AGENT)
(985) 323-3384
Entity
Organization
Contact information
Practice address
30897 MASON DENVER LN, INDEPENDENCE, LA 70443-3593
(985) 323-3384
Mailing address
30897 MASON DENVER LN, INDEPENDENCE, LA 70443-3593
(985) 323-3384
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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