| NPI | 1891473757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMPATH W HETTIARACHICHIGE Owner/Manager 800-586-6231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-01-28 |