| NPI | 1154369254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C MILBY Treasurer 270-465-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2011-03-17 |