| NPI | 1013317981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE WALKER Administrator 270-782-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2015-01-21 |