| NPI | 1306145321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL P LEWIS Owner 270-683-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY MG0820) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2020-08-19 |