| NPI | 1720290281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SENDEROVICH Pesident 314-426-5903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 17769558) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |