| NPI | 1669675195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LEVY Owner 636-255-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 17926211) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-11-12 |