| NPI | 1609624147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ANGELO BRICKHOUSE Owner 314-381-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |