| NPI | 1730907700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASTA RENE MANUEL VP Finance 405-272-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-10-15 |