| NPI | 1538165642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CRAWFORD Authorized Official 859-441-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: ME 1019767) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2019-12-16 |