| NPI | 1801087507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES PORTERFIELD Operations Mgr 573-695-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AR 27493578003) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-09-04 |