| NPI | 1992811780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHANA M PRESTON Billing Director 502-587-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 0643220002) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2025-02-27 |