| NPI | 1417066424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LYNN WHITE Owner CEO 270-864-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KY MG0187) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-12-27 |