| NPI | 1154331809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARTIN-DAVIS President 314-206-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: IL 203000193) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2025-03-12 |