Healthcare Provider Details

I. General information

NPI: 1073433199
Provider Name (Legal Business Name): RIDE WITH GRACE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 HIGHWAY 51 N
BATESVILLE MS
38606-2311
US

IV. Provider business mailing address

351 HIGHWAY 51 N
BATESVILLE MS
38606-2311
US

V. Phone/Fax

Practice location:
  • Phone: 662-609-2617
  • Fax: 662-796-7531
Mailing address:
  • Phone: 662-609-2617
  • Fax: 662-796-7531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JEANETTE M HUDSON
Title or Position: MEMBER
Credential:
Phone: 662-609-2617