| NPI | 1306898994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY SUE MCCLANAHAN Manager 859-342-0173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-06-18 |