| NPI | 1316526536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BABABEKOV President 636-321-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |