| NPI | 1255188611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX PARKER Owner / Operator 606-584-5843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |