| NPI | 1942235981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EUGENE SMITH Owner 606-693-0939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: KY MG0424) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-01-18 |