| NPI | 1609995133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM MATTHEWS Lpn 606-387-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P07151) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |