| NPI | 1811045479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN BOND Owner 314-521-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 00779600) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2009-07-23 |