| NPI | 1336466317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY YOUNG CEO/President 580-272-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OK 774) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: OK 774) |
| 305R00000X Preferred Provider Organization (Licence: OK 774) | |
| 315D00000X Hospice, Inpatient (Licence: OK 774) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 774) | |
| 333300000X Emergency Response System Companies (Licence: OK 774) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-07-27 |