| NPI | 1487783676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLAN AVERITT President 270-360-0486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 221831) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-12-18 |