| NPI | 1265430565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE HALL Owner 859-236-1442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-08-22 |