| NPI | 1205967395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN GENTRY Secretary 270-754-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-07-24 |