| NPI | 1437811734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ECKMANN Chief Of Staff 502-314-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2022-10-17 |