| NPI | 1083907448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL ETHERTON Manager 859-312-1527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 0761795) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |