| NPI | 1821153487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAQBOOL AHMAD President Owner 618-993-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 35374) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2017-08-30 |