Organization
ELITE TRANSPO
Active
Other names
ETN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DRAE J WATKINS (CEO)
(703) 639-7954
Entity
Organization
Contact information
Practice address
2019 BURFOOT ST, FALLS CHURCH, VA 22043-1346
(703) 639-7954
(815) 642-4231
Mailing address
2019 BURFOOT ST, FALLS CHURCH, VA 22043-1346
(703) 639-7954
(815) 642-4231
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
08128654
VA
344800000X
Air Carrier
08128654
VA
347C00000X
Private Vehicle
Primary
08128654
VA
347E00000X
Transportation Broker
08128654
VA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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