Organization
HAVEN GRACE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASHONTI NEALY NEALY (OWNER)
(786) 495-4418
Entity
Organization
Contact information
Practice address
1612 GREYFIELD LN, ATLANTA, GA 30350-6338
(786) 495-4418
(786) 495-4418
Mailing address
1612 GREYFIELD LN, ATLANTA, GA 30350-6338
(786) 495-4418
(786) 495-4418
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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