| NPI | 1073680864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROLD D WHITE Co Owner Manager 270-726-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P06574) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2013-06-14 |