Provider Demographics
NPI:1528555760
Name:TRAVELING GRACE TRANSPORTATION SERVICE LLC
Entity Type:Organization
Organization Name:TRAVELING GRACE TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:ANITRA
Authorized Official - Middle Name:I
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-701-8478
Mailing Address - Street 1:7520 SHUBRICK STREET
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127
Mailing Address - Country:US
Mailing Address - Phone:504-701-8478
Mailing Address - Fax:504-891-1083
Practice Address - Street 1:7520 SHUBRICK STREET
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127
Practice Address - Country:US
Practice Address - Phone:504-701-8478
Practice Address - Fax:504-891-1083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3416L0300X, 3418M1110X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No3418M1110XTransportation ServicesMilitary/U.S. Coast Guard TransportMilitary or U.S. Coast Guard Ambulance, Ground Transport
No347C00000XTransportation ServicesPrivate Vehicle