| NPI | 1902011802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRYE GOWER President 270-826-3957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY PO1544) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-02-20 |