| NPI | 1588219729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN R FOX Insurance COO Rdinator 502-458-7476 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2023-11-27 |