| NPI | 1669761391 |
|---|---|
| Doing Business As | BLAZE VALLEY HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MARIA L JAYME-MARTIN President 606-274-0156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: KY HME00706) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2014-01-31 |