Organization
INDEPENDENT LIVING TECHNOLOGIES INC.
Active
Other names
ILTsource.com
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C POORE (PRESIDENT)
(919) 757-8628
Entity
Organization
Contact information
Practice address
5924 DAHLBERG DR, RALEIGH, NC 27603-7869
(919) 757-8637
(919) 661-7195
Mailing address
5924 DAHLBERG DR, RALEIGH, NC 27603-7869
(919) 757-8637
(919) 661-7195
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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