| NPI | 1407937121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS D LOCKHART 50 Shareholder 417-646-2886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MO 19368569) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-03-05 |