| NPI | 1376816538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA DANIELS President 314-503-3894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |