| NPI | 1093097933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN M SCHAFFER President 502-459-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 00157) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2013-08-14 |