| 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 |