| NPI | 1447788823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL KUENNE Treasurer/Owner 314-426-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-07-21 |