Organization
ELITE LOGICARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEONCINE OUAYORO (CFO)
(571) 276-1624
Entity
Organization
Contact information
Practice address
11325 RANDOM HILLS RD, SUITE 360, FAIRFAX, VA 22030-6051
(703) 225-3479
(703) 225-3333
Mailing address
11325 RANDOM HILLS RD, SUITE 360, FAIRFAX, VA 22030-6051
(703) 225-3479
(703) 225-3333
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
469
VA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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