NPI | 1568997997 |
---|---|
Former Legal Business Name | BLUEGRASS SLEEP TREATMENT LLC |
Entity Type | Organization |
Authorized Contact | ROBERT POLANCICH Owner 859-278-8419 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2017-04-24 |
Last Update Date | 2023-02-20 |