| NPI | 1760491898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA VILDER President 502-376-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 051629) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2011-08-02 |