Organization
MIDSTREAM HOME UROLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH SUE MARNHOUT LPN (PRESIDENT)
(502) 299-8042
Entity
Organization
Contact information
Practice address
3416 HANOVER CT, LOUISVILLE, KY 40207-4326
(502) 299-8042
Mailing address
3416 HANOVER CT, LOUISVILLE, KY 40207-4326
(502) 299-8042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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