Provider Demographics
NPI:1285112706
Name:BY GRACE TRANSPORTATION LLC
Entity type:Organization
Organization Name:BY GRACE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GRISBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-281-7991
Mailing Address - Street 1:PO BOX 73462
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70874-3462
Mailing Address - Country:US
Mailing Address - Phone:225-281-7991
Mailing Address - Fax:
Practice Address - Street 1:9255 CEDAR GLEN DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70811-2304
Practice Address - Country:US
Practice Address - Phone:225-281-7991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)