| NPI | 1174651491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBIN HINKEBEIN Manager 502-350-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-08-06 |