| NPI | 1952583551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RICHARD ALLEN Owner 270-793-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KY 30657) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |