| NPI | 1972868545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JONES Co Owner 270-753-7688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P07513) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-10-09 |