| NPI | 1275650301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DJ THOMAS Owner 859-653-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 303142) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |