| NPI | 1639695539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY B PIERCE President 606-305-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2021-10-07 |