| NPI | 1245209105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG CRAWFORD Authorized Official 859-441-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-12-16 |