| NPI | 1760100499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON ROUSE Principal/Manager 405-417-5649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-18 |