| NPI | 1487198016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GOLIBERSUCH Onwer 859-223-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KY 5595) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |