| NPI | 1336431345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY EARL SURBAUGH President 502-384-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |