| NPI | 1679491401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIS MICHELL RIVERA CEO 405-335-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-07-08 |