| NPI | 1932106663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDY C MULLINS Mgr Owner 606-451-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 182153) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-04-10 |