| NPI | 1629418827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HUTSON Secretary 573-334-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |