Organization
ELITE MISSISSIPPI TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ANDERSON (OWNER)
(337) 288-6777
Entity
Organization
Contact information
Practice address
18 BRIELLE LN, WIGGINS, MS 39577-8011
(337) 288-6777
Mailing address
120 ODESSA RD, DUSON, LA 70529-4437
(337) 288-6777
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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