Organization
ELITE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAHDIJAH GREEN (OWNER)
(267) 406-8049
Entity
Organization
Contact information
Practice address
5936 CRYSTAL ST, PHILADELPHIA, PA 19120-1128
(267) 406-8049
Mailing address
5936 CRYSTAL ST, PHILADELPHIA, PA 19120-1128
(267) 406-8049
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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