| NPI | 1568650075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL A PHILLIPS Owner / Manager 405-609-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |