| NPI | 1487979068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON E. KASTEN Manager 417-882-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |