| NPI | 1831481183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG DELAINE BLUME Co Owner 314-303-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2012-12-21 |