| NPI | 1437547932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSCELL D PAVLIN Director 3 M 417-380-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |