| NPI | 1982264040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J CRAWFORD President 859-441-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-01-26 |