| NPI | 1700862455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAC R CLIFTON President 276-628-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-08-22 |