| NPI | 1376824508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROSS Director 502-594-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2022-05-13 |