| NPI | 1730368291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO BOUZA President 502-326-3673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2008-08-19 |