| NPI | 1134242332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GIRA Cmo 314-909-0633 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO R1H47) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-11-19 |