| NPI | 1093879009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN WORTHINGTON President 859-737-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 184257) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-06-13 |