| NPI | 1578185104 |
|---|---|
| Doing Business As | ELITE GROUP WARREN |
| Entity Type | Organization |
| Authorized Contact | HARRY LAMONT SOUTHERLAND President 910-978-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2023-03-04 |