| NPI | 1972069904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J CRAWFORD CEO 859-441-8876 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2022-02-25 |