| NPI | 1528154598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY GENE POOLE President Owner 270-826-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KY 45901279) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-26 |