| NPI | 1497852776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL K LANE CFO 314-997-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 064110) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-12-13 |