| NPI | 1104710649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEDDY Owner 405-757-8197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |