| NPI | 1154378016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELICK B ELLIOTT President Owner 919-303-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 00303) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2009-08-19 |