Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI Number | 1780844779 |
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| LBN Legal business name | ELIKORT GROUP INT'L, LLC | ||||
| Authorized official | ELIJAH THOMSON - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/12/2008 | ||||
| Last updated | 04/03/2014 - About 12 years ago | ||||
| Identifiers |
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