NPI | 1316980949 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSCELL D PAVLIN 3 M Director 417-380-5105 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-06-13 |
Last Update Date | 2016-08-24 |