| NPI | 1922064666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H JON HALEY President Owner 918-341-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-08-22 |