| NPI | 1144607409 |
|---|---|
| Doing Business As | SENIOR SUPPORT |
| Entity Type | Organization |
| Authorized Contact | TERRELL DANIEL CORNELISON Member 502-773-5345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2024-12-24 |