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 |