| NPI | 1235675471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI D GRABOW Owner, Manager 405-235-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |