| NPI | 1790768737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETT D ASHER Owner 573-204-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2001007478) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-08-22 |