| NPI | 1376678151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI ANN SANDERS Owner 502-721-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-05-18 |