| NPI | 1679246896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY BLAKE PLATNER Owner 918-698-4549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |