Organization
LESLIE COUNTY DURABLE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LAVONNE MCINTOSH (OWNER/OPERATOR)
(606) 374-6873
Entity
Organization
Contact information
Practice address
4898 HIGHWAY 406, STINNETT, KY 40868-6513
(606) 374-6873
(606) 374-6873
Mailing address
4898 HIGHWAY 406, STINNETT, KY 40868-6513
(606) 374-6873
(606) 374-6873
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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