| NPI | 1366246589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHITH DEVATHI President 217-494-5752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-11-19 |