| NPI | 1255475547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY CARLON CANTRELL President 314-447-0259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |