Organization
ELITE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONIYOR KAMILOV (OWNER)
(720) 207-8137
Entity
Organization
Contact information
Practice address
17989 E DICKENSON PL, AURORA, CO 80013-5909
(720) 207-8137
Mailing address
17989 E DICKENSON PL, AURORA, CO 80013-5909
(720) 207-8137
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B-10047
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B-10047
PUBLIC UTILITY COMMISSION
CO
Enumeration date
07/21/2016
Last updated
07/21/2016
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