| NPI | 1578645446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J CRAWFORD CEO 859-441-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000078A) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IN 69000078A) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IN 69000078A) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 69000078A) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-02-25 |