| NPI | 1205047768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAY NEVELS Office Billing Manager 270-393-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: KY NA) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |