NPI | 1114136512 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER LYNN DENNE Owner 918-632-0033 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |