| NPI | 1972514040 |
|---|---|
| Doing Business As | SCM LIFE OXYGEN |
| Entity Type | Organization |
| Authorized Contact | DANIEL EDGESON General Manager 502-368-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 191111) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2017-02-08 |