| NPI | 1407012156 |
|---|---|
| Doing Business As | TRI-STATE MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | CINDY A STEPHENS Manager 918-609-5763 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2016-05-10 |