| NPI | 1710190400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DAVID SIMON President Owner Operator 405-385-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-10-14 |