| NPI | 1639356082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD SACKMAN Administrator 314-849-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2011-02-17 |