| NPI | 1003095407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG CRAWFORD Authorized Official 859-441-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2023-10-17 |