| NPI | 1508990466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA MCMILLAN Co Owner 660-248-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: MO 17322073) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-03-19 |