| NPI | 1538460332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW T WOLF President 636-441-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |