| NPI | 1912191172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CHARLES MILLER Owner 660-385-2167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 027206) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |