| NPI | 1780682971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY L PENNINGTON Administrator/CEO 606-376-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 165788) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2009-09-23 |