| NPI | 1588942296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAMUZ A. MAMEDOV President 502-345-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |