| NPI | 1649309568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN W ALALI General Manager 405-413-1578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2016-02-08 |