| NPI | 1508815564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS SCOTT WYGLE President/ Manager 866-843-0823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 855059) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |