| NPI | 1194995100 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | MARILYN MARIE HENDRICKSON Owner 918-456-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 081682) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |