| NPI | 1871596569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT REAN HUXALL CEO 918-808-5526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: OK OK 9725) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: OK OK 9725) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OK OK 9725) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-08-22 |