| NPI | 1912046699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE J MILLETT Owner President 859-623-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: KY 18437) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-06-29 |