Organization Name: | GRACE AMBULETTE |
NPI Number: | 1013388420 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMANDA PAUL (OWNER) |
Mailing Address: | 153 32 73rd Ave Suite 1f Flushing |
State: | NY US |
Postal Code: | 11367 |
Phone Number: | 3478132196 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2015 |
NPI Last Update Date: | 10/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |