| NPI | 1568460368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL RATAY President 314-646-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MO 2003022170) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |