| NPI | 1770824799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENTIN T WOMACK Vice President 314-324-9206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2013006920) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |