| NPI | 1245263276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY W HARRISON Sec Treas 502-589-9325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-02-28 |