| NPI | 1063885770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA STARR Manager 314-837-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2001014944) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2022-09-01 |