Organization
ELITE TRIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY ALLEN WALTON (OWNER)
(770) 462-0456
Entity
Organization
Contact information
Practice address
146 BAYWOOD WAY, HIRAM, GA 30141-3185
(770) 462-0456
(770) 462-0168
Mailing address
6065 ROSWELL RD STE 450, ATLANTA, GA 30328-4011
(770) 462-0456
(770) 462-0168
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/13/2022
Last updated
04/20/2022
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