| NPI | 1033764618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA SMITH Vice President 573-803-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |