| NPI | 1013213701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EREYI Administrator 314-721-1575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO LC0806203) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |