| NPI | 1457520215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA K TRUSTY Office Manager 314-291-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 801) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2022-07-21 |