| NPI | 1366574683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A WELCH Office Manager 606-889-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-01-24 |