| NPI | 1336519867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE ZVIBLEMAN CEO 314-518-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO LC1347933) |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2015-09-27 |