Provider Demographics
NPI:1578270583
Name:GRACE WILL MOBILITY SOLUTIONS
Entity Type:Organization
Organization Name:GRACE WILL MOBILITY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANA YAA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYIMADU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-488-9296
Mailing Address - Street 1:1440 W KEMPER RD APT 606
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1675
Mailing Address - Country:US
Mailing Address - Phone:513-488-9296
Mailing Address - Fax:
Practice Address - Street 1:1440 W KEMPER RD APT 606
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1675
Practice Address - Country:US
Practice Address - Phone:513-488-9296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)