Organization
GREENE RESPIRATORY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN J RUSSELL (CFO)
(513) 831-0507
Entity
Organization
Contact information
Practice address
6301 POPLAR TREE CT, LOUISVILLE, KY 40228-1076
(502) 272-4744
(502) 742-5617
Mailing address
815 US HIGHWAY 50, MILFORD, OH 45150-9513
(513) 831-0507
(513) 831-4051
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
170385
KY
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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