| NPI | 1992079438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA WALLACE Administration Manager 918-935-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |