| NPI | 1376721134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS WINSTON Manager 636-349-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 15494217) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |