| NPI | 1962412031 |
|---|---|
| Doing Business As | ELY HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | STEVE JESSEE General Manager 270-651-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY M00906) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KY MG0274) |
| 333600000X Pharmacy (Licence: KY 006375) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-10-12 |