| NPI | 1124262878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILUKA FERNANDO Principal 571-332-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 141236880) |
| Enumeration Date | 2009-04-25 |
| Last Update Date | 2010-08-12 |