| NPI | 1851631147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSCELL D PAVLIN 3 M Director 417-380-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: PA 8000002457) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |