| NPI | 1609874072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD MULLEN System Director, Operations Ashme 918-940-1605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: OK N/A) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2025-06-30 |