| NPI | 1114078334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA D TRASK VP, Corporate Development 502-244-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 301594815) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 301594815) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |