| NPI | 1649400771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J DUVALL President 270-274-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: KY MG0182) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |