| NPI | 1437223500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS ANNETTE BLAIR Owner President 606-349-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-02-20 |