| NPI | 1194385237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CARNES LEWIS Owner 502-855-3919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |