| NPI | 1083833669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAMS Secretary 314-504-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-05-27 |