| NPI | 1427250190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C MILBY Treasurer 270-465-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2022-12-01 |