| NPI | 1275824112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHENE SMITH President 314-266-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 085-001790) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |