| NPI | 1447227376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD D INGERSON President 618-622-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2009-06-08 |