| NPI | 1760548663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WAYNE DECKER President 918-650-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2009-11-16 |