| NPI | 1114964046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA HARVEY Owner 405-273-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OK 176189) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 176189) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: OK 176189) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2011-11-21 |