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Organization

ELITE TRANSPORTATION SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY HARRIS JR. (OWNER)
(901) 378-2445
Entity
Organization

Contact information

Practice address
1509 MAURINE DR, MEMPHIS, TN 38116-7967
(901) 378-2445
Mailing address
PO BOX 301208, MEMPHIS, TN 38130-1208
(901) 378-2445

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
108001952
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
T000258
TENNCARE/MEDICAID GROUP PROVIDER NUMBER
TN
Enumeration date
07/30/2008
Last updated
07/30/2008
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