| NPI | 1447289327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOYIE ALLEN Owner 270-465-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KY MG0186) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2007-07-23 |