| NPI | 1528045101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WEST CEO 502-266-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2009-08-13 |