Healthcare Provider Details

I. General information

NPI: 1619882438
Provider Name (Legal Business Name): GRACEFUL PATH TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7822 W HOPE AVE
MILWAUKEE WI
53222-2037
US

IV. Provider business mailing address

7822 W HOPE AVE
MILWAUKEE WI
53222-2037
US

V. Phone/Fax

Practice location:
  • Phone: 414-795-3301
  • Fax:
Mailing address:
  • Phone: 414-795-3301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: JARED WRIGHT
Title or Position: OWNER
Credential:
Phone: 414-795-3301