| NPI | 1558482091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA J. GREEN Owner 270-217-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 105540) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |