| NPI | 1659612125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON HAVEY Owner 314-821-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |