Provider Demographics
NPI:1295549319
Name:GRACEFUL STRENGTH MOBILITY LLC
Entity type:Organization
Organization Name:GRACEFUL STRENGTH MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ DRIVER/ EMT
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:VIDAL
Authorized Official - Last Name:VUITTONET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-558-9010
Mailing Address - Street 1:449 WHITEWING DR
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-7700
Mailing Address - Country:US
Mailing Address - Phone:956-558-9010
Mailing Address - Fax:
Practice Address - Street 1:449 WHITEWING DR
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-7700
Practice Address - Country:US
Practice Address - Phone:956-558-9010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)