| NPI | 1720190218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LESTER MORGAN Owner 314-427-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-03-15 |