| NPI | 1265593198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DIANNE TRASK Vice President, Corporate Developme 502-244-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313102) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |