| NPI | 1902370885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBBIE L. ELY President 918-520-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2022-05-18 |