| NPI | 1295736650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY FROST President 270-384-5143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: KY MG0440) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY MG0440) |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: KY MG0440) | |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies (Licence: KY MG0440) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: KY MG0440) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: KY MG0440) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2010-10-25 |