| NPI | 1720209539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMAR RESURRECTION Owner 417-623-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |