| NPI | 1821204017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MOUSE Chief Financial Officer 918-227-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |