| NPI | 1629220678 |
|---|---|
| Doing Business As | BLACK OAK HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LICHLYTER President 541-773-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR RP0000767) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2010-03-05 |