| NPI | 1992596159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJINI KANCHANA LAURENSU HEWAGE Owner 424-367-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-17 |