| NPI | 1841968427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CARNES LEWIS Managing Partner 502-855-3919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |