Organization
DME SPA LLC
Active
Organization
DME SPA LLC
Active
Other names
CPAP Spa
Organization subpart
No
Provider details
NPI number
Authorized official
PANKAJ MERCHIA (MANAGER)
(617) 401-8929
Entity
Organization
Contact information
Practice address
11526 SENECA WOODS CT, GREAT FALLS, VA 22066-1375
(703) 348-7857
(703) 444-4308
Mailing address
PO BOX 1048, GREAT FALLS, VA 22066-9048
(703) 348-7857
(703) 444-4308
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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