Healthcare Provider Details

I. General information

NPI: 1922929264
Provider Name (Legal Business Name): GRACEFUL TRAVELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 CARONDELET ST
NEW ORLEANS LA
70130-5915
US

IV. Provider business mailing address

2707 CARONDELET ST
NEW ORLEANS LA
70130-5915
US

V. Phone/Fax

Practice location:
  • Phone: 504-708-3408
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY JACKSON
Title or Position: OWNER
Credential:
Phone: 504-708-3408