Organization
MEDICAL EQUIPMENT INSPECTION & REPAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARYLA LOUISE RICHARDS BA (OWNER)
(417) 683-2030
Entity
Organization
Contact information
Practice address
122 EAST WASHINGTON AVE, AVA, MO 65608
(417) 683-2030
(417) 683-2030
Mailing address
RT 6 BOX 6292, AVA, MO 65608
(417) 683-2030
(417) 683-2030
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
21319928
MO
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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