Organization
ELITE SUPPLY SERVICES, INC.
Active
Organization
ELITE SUPPLY SERVICES, INC.
Active
Other names
Elite Group Warren
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY LAMONT SOUTHERLAND JD (PRESIDENT)
(910) 978-9118
Entity
Organization
Contact information
Practice address
2148 BUS-US 401, RAEFORD, NC 28376
(910) 565-2857
Mailing address
PO BOX 417, RAEFORD, NC 28376-0417
(910) 248-6258
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/18/2020
Last updated
03/04/2023
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