| NPI | 1093602039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKAYLA DESIREE TROWEL Owner 502-956-8542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |