| NPI | 1205917770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARO SHIRSHEKAN Managing Member 573-701-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |