| NPI | 1699900100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L HICKS Managing Partner 573-701-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |