| NPI | 1376925594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. MARNHOUT Managing Member 502-625-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |