| NPI | 1841479409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITO H DIEZ President 502-562-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2008-02-28 |