Organization
PSYCHE C-PAP PILLOW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD DEETSCH (PRESIDENT)
(502) 693-1037
Entity
Organization
Contact information
Practice address
208 LINNEY AVE, LOUISVILLE, KY 40243-1014
(502) 693-1037
Mailing address
208 LINNEY AVE, LOUISVILLE, KY 40243-1014
(502) 693-1037
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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