| NPI | 1154691301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN K MAUSER President 502-458-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 00176) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2013-01-31 |