| NPI | 1457697146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY BLANKENSHIP Owner 270-606-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KY MG0842) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2013-05-17 |