| NPI | 1407632698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL DEREN President 417-883-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-14 |