| NPI | 1134316771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAGY CFO 606-218-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 100366) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2020-05-21 |