| NPI | 1417149469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN MECKLENBURG President 314-871-9306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-09-17 |