| NPI | 1114969938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE O STRODE Certified Mast Fitter Owner 270-781-5171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY C21460) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |