| NPI | 1528358520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY L PENNINGTON General Manager 606-376-1551 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |