| NPI | 1811764269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JOHN CRAWFORD President 502-222-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |