| NPI | 1891631453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER A MOENKHOFF Owner 417-179-4267 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-04-27 |
| Last Update Date | 2026-04-27 |