| NPI | 1770704215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY LYNN HANSER Owner 859-746-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2011-05-24 |