| NPI | 1891176368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C MILBY Treasure 270-465-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY MG0110) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2016-02-26 |