| NPI | 1831207984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PRESTON President 895-255-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KY 247648) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 247648) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2009-09-28 |