| NPI | 1922099233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS E. JACKSON CEO 636-379-8061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 19590296) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2010-12-19 |