| NPI | 1669617916 |
|---|---|
| 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: VA 0206009258) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2009-08-07 |