| NPI | 1376571158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY MARIE CARROLL Owner/Manager 606-789-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 332B00000x) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |