| NPI | 1275531659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG CRAWFORD Authorized Official 859-441-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 2215574011) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2022-11-30 |