| NPI | 1164641775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL JONES Owener 270-683-0819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 007238) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2018-06-20 |