| NPI | 1750562369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R ARCHER Manager 606-875-3286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2008-09-03 |