| NPI | 1659799575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P GIRA Authorized Official 314-909-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2025-03-12 |