Organization · Type 2 NPI
Madison Grace Transport LLC
Private Vehicle · Vicksburg, MS
NPI number
1629957048
Active
Practice location
126 Le Fleurs Dr
Vicksburg, MS 39180-8850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1629957048
Madison Grace Transport LLC's National Provider Identifier is 1629957048, issued on Aug 29, 2025. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Vicksburg, MS. The record was last updated on Aug 29, 2025.