| NPI | 1790785657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE SUE COAKLEY Managing Member 405-879-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2008-06-20 |