| NPI | 1821404187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LISA WALDROOP Registered Dietitian 918-406-9718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OK 133V00000X) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |