| NPI | 1285930834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PRESTON General Manager/Owner 859-225-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-02-01 |