| NPI | 1497459838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMISHA NICOLE WEBSTER Owner 502-356-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2025-04-30 |