| NPI | 1487537882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELLARAE ANN SMITH Owner 502-930-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |