Organization
ELIKORT TRANSPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIJAH THOMSON (MANAGING OWNER)
(443) 681-6352
Entity
Organization
Contact information
Practice address
9708 LANGLEY RD, MIDDLE RIVER, MD 21220-3882
(410) 499-3201
Mailing address
9708 LANGLEY RD, MIDDLE RIVER, MD 21220-3882
(410) 499-3201
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
PSC5373
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSC5373
TRANSPORTATION PROVIDER
MD
Enumeration date
09/16/2015
Last updated
09/16/2015
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