| NPI | 1326114356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J DUVALL President Owner 270-754-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KY MG0182) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-07-15 |