| NPI | 1427218544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JO MAXSON Owner 314-249-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2009-04-28 |