| NPI | 1114965134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL MILLER Exec. Director 502-813-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-03-23 |