| NPI | 1982606273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE MCCORMACK Business Manager 314-843-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-08-22 |