| NPI | 1528352556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI KAREN BACON Owner/Operator 573-760-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |