Provider Demographics
NPI:1932480258
Name:ELFTEK LLC
Entity Type:Organization
Organization Name:ELFTEK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ELFATIH
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSTOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-587-9127
Mailing Address - Street 1:1887 PEBBLE RDG
Mailing Address - Street 2:APT. 7
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-4520
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1887 PEBBLE RDG
Practice Address - Street 2:APT. 7
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-4520
Practice Address - Country:US
Practice Address - Phone:513-587-9127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)