Organization
MADISON'S GRACE ENTERPRISE LLC
Active
Organization
MADISON'S GRACE ENTERPRISE LLC
Active
Other names
Travel With Grace
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVARIUS GASTON (OWNER)
(501) 613-8117
Entity
Organization
Contact information
Practice address
137 APPLE TREE CIR STE 1475, NORTH LITTLE ROCK, AR 72118-1156
(501) 613-8117
Mailing address
137 APPLE TREE CIR, NORTH LITTLE ROCK, AR 72118-1156
(501) 613-8117
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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