| NPI | 1558355123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANNY G HENDERSON Owner 405-858-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2008-09-25 |