| NPI | 1801374822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON NATHANIEL WYLIE Owner/CEO 405-604-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-04-03 |