Organization
ELITE VAN TRANSPORTATIONLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA LYNN TALBOT (OWNER)
(509) 939-1414
Entity
Organization
Contact information
Practice address
4531 BELLSTAR RD, CLAYTON, WA 99110-9744
(509) 710-7967
(509) 242-3298
Mailing address
4531 BELLSTAR RD, CLAYTON, WA 99110-9744
(509) 710-7967
(509) 242-3298
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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