| NPI | 1194828608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASTA RENE MANUEL Regional VP Finance 405-272-7279 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 2304) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-08-30 |