| NPI | 1114917747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RUSSELL WEBB Administrator 888-691-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 117978) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2010-10-21 |