| NPI | 1598890865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY LONG VP 386-698-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P06850) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-04-23 |