| NPI | 1306712286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIS MICHELL RIVERA CEO 405-335-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2026-07-20 |