| NPI | 1720463755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN MOENKHOFF Owner/Manager 417-569-6039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |