| NPI | 1427606110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD GOODWIN President 314-997-8771 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2025-04-23 |