| NPI | 1093854580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONNA APPELBAUM Principal 314-994-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MO LC0071981) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |