| NPI | 1740337195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY LYNN CREECH Owner 573-368-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |