| NPI | 1811049455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEVIN SCOTT GOEBEL Owner 859-744-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P06947) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-12-01 |