| NPI | 1144383068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN D. WILLIAMS Owner 866-696-7528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 5251180002) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2009-09-14 |