Godgrace Health Transport, LLC.
Non-emergency Medical Transport (VAN) in Davenport, FL. Organization (NPI-2).
NPI number1477166262
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1477166262
- Entity type
- Organization (NPI-2)
- Legal business name
- Godgrace Health Transport, LLC.
- Organization subpart
- No
- Enumeration date
- Aug 31, 2020
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
265 Highgate Park BlvdDavenport, FL 33897-7732
Phone 305-842-6182
Mailing address
265 Highgate Park BlvdDavenport, FL 33897-7732
Phone 305-842-6182
Authorized official
Amaury Li
Owner/Ceo
3058426182
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