| NPI | 1598448383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN SHANE PERRY Owner 859-447-5387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |