| NPI | 1518050517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WOOD PHELPS President 502-454-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 404) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-03-22 |