Organization
HOLDAWAY MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WEST (CEO)
(800) 397-0525
Entity
Organization
Contact information
Practice address
118 PATRIOT DRIVE, SUITE 101, BARDSTOWN, KY 40004-9094
(502) 349-0402
(502) 349-0412
Mailing address
2500 CONSTANT COMMENT PL, LOUISVILLE, KY 40299-6323
(502) 266-0092
(502) 266-9736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG0600
KY
Other
Enumeration date
06/07/2007
Last updated
08/13/2009
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