| NPI | 1184894461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL A VONSICK Owner 502-479-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 000272156) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |