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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