Elite Logicare Group
Non-emergency Medical Transport (VAN) in Fairfax, VA. Organization (NPI-2).
NPI number1831547769
StatusActive
Last updated in NPPESJun 1, 2016
Details
- NPI
- 1831547769
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Logicare Group
- Organization subpart
- No
- Enumeration date
- Jun 1, 2016
- Last updated
- Jun 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | 469 | VA | Yes |
Practice location
11325 Random Hills RdSuite 360
Fairfax, VA 22030-6051
Phone 703-225-3479 · Fax 703-225-3333
Mailing address
11325 Random Hills RdSuite 360
Fairfax, VA 22030-6051
Phone 703-225-3479 · Fax 703-225-3333
Authorized official
Leoncine Ouayoro
Cfo
5712761624
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