| NPI | 1245364066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T KLEINBECK President 573-686-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 620059725) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2023-03-07 |