| NPI | 1093879025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI SMITH Executive Director 918-494-8497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-12-05 |