| NPI | 1861564494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MINEMIER Office Manager 314-434-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO R9919) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-03-28 |