| NPI | 1407918840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L GILLESPIE Executive Director 314-432-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-10-18 |