| NPI | 1619018348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HAYDEN Administrator 270-298-0259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY HME00236) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2018-02-21 |