| NPI | 1619024346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ALAN DAVIS President 606-324-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2009-01-13 |