| NPI | 1558761734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE VANHOOSE Ap RN/Owner 606-393-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 36483) |
| 111N00000X Chiropractor (Licence: KY 5449) | |
| 363L00000X Nurse Practitioner (Licence: KY 3006910) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2016-11-30 |