| NPI | 1265442768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HOGANCAMP Co Owner 270-575-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: KY 0700016509) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2009-07-31 |