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 |