| NPI | 1619019023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN SMALL Owner 502-254-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2022-07-21 |