| NPI | 1336355007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON BOUNDS Owner 662-369-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 5367400001) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2024-01-30 |