Organization
GRACEY & MERCY MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHOLA MICHELLE ALEXANDER (OPERATOR/OWNER)
(850) 253-5768
Entity
Organization
Contact information
Practice address
126 NE RIDGEVIEW COURT, MADISON, FL 32340-6165
(850) 253-5768
Mailing address
126 NE RIDGEVIEW COURT, MADISON, FL 32340-6165
(850) 253-5768
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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