| NPI | 1477788115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE OSBORN Owner 417-581-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MO 926061) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2019-12-18 |