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Organization

ELITE HOME CARE TRANSPORTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALICIA JOHNSON (OWNER/CEO)
(678) 831-2264
Entity
Organization

Contact information

Practice address
1300 RIDENOUR BLVD NW STE 104, KENNESAW, GA 30152-4528
(678) 831-2264
(866) 571-8385
Mailing address
1300 RIDENOUR BLVD NW STE 104, KENNESAW, GA 30152-4528
(678) 831-2264
(866) 571-8385

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
01/04/2025
Last updated
07/15/2025
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