| NPI | 1851560825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LOVELESS President 405-631-9731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OK 23) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OK 31) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |