| NPI | 1023952173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGADEESH MALNENI Business Owner 719-679-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-04-17 |