| NPI | 1689673493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM R SKRAINKA Executive Director 314-835-1549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |