| NPI | 1295759579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN GALL Practice Manager 859-278-2776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-06-21 |