| NPI | 1770674491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS A STAYTON Director Of Clinical Services 417-343-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 002351) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-09-22 |