Provider Demographics
NPI:1619541695
Name:AMAYSING GRACE NON-EMERGENCY MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:AMAYSING GRACE NON-EMERGENCY MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUMORRIA
Authorized Official - Middle Name:XZAVIA
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-444-8659
Mailing Address - Street 1:1220 MARTIN LUTHER KING DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-2646
Mailing Address - Country:US
Mailing Address - Phone:936-444-8659
Mailing Address - Fax:
Practice Address - Street 1:1220 MARTIN LUTHER KING DR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-2646
Practice Address - Country:US
Practice Address - Phone:936-444-8659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)