| NPI | 1760963276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLESETTA M THOMPSON Technician 405-595-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2019-05-03 |