Organization
GRACECARE MOBILE RESPONSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE LUCAS (MANAGER)
(310) 617-2620
Entity
Organization
Contact information
Practice address
3475 W SLAUSON AVE, LOS ANGELES, CA 90043-2438
(310) 617-2620
Mailing address
1048 MARINE AVE APT 10, GARDENA, CA 90247-4168
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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