| NPI | 1124639075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBI K FOX Executive Director 405-243-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-09-15 |