| NPI | 1548670110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PROFFITT Executive Partner 502-727-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |