| NPI | 1912989112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEVIN STONE Owner 270-442-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2014-11-14 |