| NPI | 1194591941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANDERSON Authorized Official 314-395-4349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2024-11-08 |