| NPI | 1972534055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADE A ADEGOKE Owner 314-450-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO lc6437690) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-02-28 |