| NPI | 1902190150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD DEETSCH President 502-693-1037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |