| NPI | 1386809630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MCBROOM President 417-451-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |