| NPI | 1346246907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY NEIBERT DANIEL Owner 606-789-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KY MG0500) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2025-09-11 |