| NPI | 1518011469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY MAC WELDON President 502-802-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 019486) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |