| NPI | 1285789461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY DANIEL Administrator 606-789-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 093575) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |