| NPI | 1861958530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A PANK Paralegal 502-394-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |