| NPI | 1780137356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND A BRICKHOUSE Owner 314-381-1800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2008026233) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |