| NPI | 1841407459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SCOTT Director 314-351-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 19831811) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-03-26 |