| NPI | 1053564674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT REYNOLDS Vice President Finance 417-820-2818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2012-02-10 |