Organization
DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SAMUELS CFO (PARTNER)
(502) 814-3174
Entity
Organization
Contact information
Practice address
2301 RIVER RD, 302, LOUISVILLE, KY 40206-2093
(502) 426-9680
Mailing address
2301 RIVER RD, 302, LOUISVILLE, KY 40206-2093
(502) 426-9680
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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