| NPI | 1962529636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED FORD Managing Member 918-622-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 874599) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-05-16 |