| NPI | 1669943882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E LEHMAN Office Manager 618-242-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |