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 |