| NPI | 1417037094 |
|---|---|
| Doing Business As | BLUEGRASS HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | GARY S RUSSELL President 270-825-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY MG0250) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-10-13 |