| NPI | 1275534778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAD F CONNALLY President 270-393-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 108684-000) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-12-22 |