| NPI | 1134453582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI A MANDROLA Sole Member 502-693-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 41139) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2011-12-13 |