| NPI | 1962664391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA EDWIN SORRELL Owner 502-570-9835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KY MG0634) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2009-03-26 |