| NPI | 1184080731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY JOE JAMES Manager 314-392-3998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-12-14 |