| NPI | 1780018085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINTINA LOVE Owner 502-608-4183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: KY 601965) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2023-03-04 |