| NPI | 1053481770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY JANWAY Manager Of Operations 405-348-6457 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 873) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-05-29 |