| NPI | 1477741114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN BIETSCH President 573-424-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2019-08-13 |