| NPI | 1972722684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYN JEAN MAY Member 314-989-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |