| NPI | 1316914252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE M PAULS Vice President 314-361-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MO 12960519) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-08-22 |