| NPI | 1780863985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH S ASBERRY Owner 417-667-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 089091) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MO 089091) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: MO 089091) | |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2009-10-19 |