| NPI | 1932210077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DALE ROCHELL Owner/President 580-252-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 743126473) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-02-12 |