| NPI | 1891727368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFF SHIRRELL Vice President 573-471-1276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-11-24 |