| NPI | 1457479750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GALLAGHER Bus. Office Manager 314-872-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 103382) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |