Organization
GRACEFUL JOURNEYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLIE C LUCKETT (MANAGER)
(601) 260-8526
Entity
Organization
Contact information
Practice address
120 OLD HIGHWAY 16, CANTON, MS 39046-8788
(601) 260-8526
Mailing address
PO BOX 1762, CANTON, MS 39046-1762
(601) 260-8526
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/27/2025
Last updated
06/08/2025
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