| NPI | 1235559816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET RENEE DALY Ar Manager 573-441-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |