| NPI | 1811166499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R GOLDA Owner 405-691-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 145) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-28 |