Organization
HOLDAWAY MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WEST (CEO)
(502) 266-0092
Entity
Organization
Contact information
Practice address
2500 CONSTANT COMMENT PL, LOUISVILLE, KY 40299-6323
(502) 266-0092
(502) 266-9736
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
—
—
332BC3200X
Customized Equipment (DME)
—
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
12/27/2005
Last updated
08/13/2009
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