| NPI | 1033163068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECIL R BAKER Owner President 606-864-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-12-03 |