| NPI | 1144753849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEPHEN MAYNARD Principal 502-822-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |