| NPI | 1376524777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY DEWAYNE RISLEY President 918-775-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2011-08-30 |