| NPI | 1366614984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C ALLEN Provider 859-278-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 00236) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2011-06-02 |