| NPI | 1851437487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG SCOTT Owner Member 573-246-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2002014845) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |