| NPI | 1376572628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DWAYNE CRUM Director 606-298-3589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |