| NPI | 1730227158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRISH N MODY Owner 502-491-1851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 1267670001) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2012-11-07 |