| NPI | 1942416623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON BOUNDS Owner 662-257-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 04434353) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-03-18 |