| NPI | 1962475327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. GOUY Sr, Vice President/ Assist. Sec. 615-221-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: KY MG0007) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: KY MG0007) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-08-22 |