| NPI | 1740439553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL RAMAGE Office Manager 270-442-9461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2009-01-08 |