| NPI | 1912665076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLESETTA MARIA THOMPSON Authorized Official 405-595-3226 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |