Organization · NPI-2

Green Horseshoe Healthcare

Durable Medical Equipment & Medical Supplies · Louisville, KY

NPI number1710243860
StatusActive
Last updated in NPPESApr 3, 2012

Details

NPI
1710243860
Entity type
Organization (NPI-2)
Legal business name
Green Horseshoe Healthcare
Organization subpart
No
Enumeration date
Apr 3, 2012
Last updated
Apr 3, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes
332900000X Non-Pharmacy Dispensing Site––

Practice location

2145 W Hill St
Louisville, KY 40210-1923

Phone 502-287-2763

Mailing address

2145 W Hill St
Louisville, KY 40210-1923

Phone 502-287-2763

Authorized official

Timothy Neal
Owner
5022872763

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