| NPI | 1679192827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTON ARTAMASAV Chief Executive Officer 502-630-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2021-12-03 |