| NPI | 1093981995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN HOGUE VP 270-237-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 165233) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |