| NPI | 1861716144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY EARL SURBAUGH President 502-494-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-11-30 |