NPI | 1427192541 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY C BOSS Adminstrator 918-762-2626 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OK 1532) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2020-08-22 |