Im Elite LLC
Private Vehicle in Duluth, GA. Organization (NPI-2).
NPI number1609613579
StatusActive
Last updated in NPPESJul 9, 2024
Details
- NPI
- 1609613579
- Entity type
- Organization (NPI-2)
- Legal business name
- Im Elite LLC
- Organization subpart
- No
- Enumeration date
- Jul 9, 2024
- Certification date
- Jul 9, 2024
- Last updated
- Jul 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Practice location
2632 Northwoods Lake CtDuluth, GA 30096-7997
Phone 380-799-4216
Mailing address
8735 Dunwoody Pl Ste 5309Atlanta, GA 30350-2995
Phone 678-272-5684
Authorized official
Rodney Ayers
Ceo
6148046268
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