| NPI | 1700135852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON HAVEY Owner 314-497-7782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |