| NPI | 1821888009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DISSANAYAKE M DISSANAYAKE Owner/Member 469-982-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |