| NPI | 1609405950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK ROGERS Managing Owner 918-260-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2022-10-03 |