| NPI | 1053555417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD B HAVEY President 636-536-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2010-11-23 |