| NPI | 1649273558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J JANTZEN Owner 580-233-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 5-D-655) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |