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 |