| NPI | 1558369769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THEODORE SULLIVAN Owner/ President 502-349-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |