| NPI | 1720364268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL W HALL Member 859-623-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 00274) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2019-09-19 |