NPI | 1942072228 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON CARNES LEWIS Owner 502-855-3919 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2023-10-30 |
Last Update Date | 2023-10-30 |