| NPI | 1366590804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HOGANCAMP Medical Director 270-575-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 15166) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-10-24 |