| NPI | 1093807810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY E WILL-BOWER Owner 314-849-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 12763047) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |