| NPI | 1063460285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE ROBERTS President/Owner 606-639-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |