| NPI | 1487513107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LYNN SOEDER President 502-724-3681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-01-19 |
| Last Update Date | 2026-01-19 |