| NPI | 1982606851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C GRAHAM President 606-878-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY MG0190) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY HME00021) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-06-02 |