| NPI | 1780877852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWAKU BOAFO MANU President 314-438-0033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 4947120001) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2008-02-07 |