Organization
ELITE SENIOR TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMIN BOOKER (DIRECTOR OF OPERATIONS)
(678) 469-9526
Entity
Organization
Contact information
Practice address
3994 VILLA LAKE RD, POWDER SPRINGS, GA 30127-5051
(850) 688-6761
Mailing address
3994 VILLA LAKE RD, POWDER SPRINGS, GA 30127-5051
(850) 688-6761
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
02/01/2021
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