| NPI | 1184623043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL S MCKENNA President/Owner 573-754-4527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |