| NPI | 1053319376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE TROSPER Owner 606-248-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 258490) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2008-08-04 |