| NPI | 1164578902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S YANCHICK Owner/PIC 918-569-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 534300) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-03-15 |