Organization
MCDANIEL'S INC (FURNITURE)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN L MCDANIEL (VICE PRESIDENT)
(575) 762-4481
Entity
Organization
Contact information
Practice address
1020 MAIN ST, CLOVIS, NM 88102-1050
(575) 762-4481
(575) 762-0331
Mailing address
1020 N MAIN ST, PO BOX 1050, CLOVIS, NM 88101-5933
(575) 762-4481
(575) 762-0331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01405146000
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01405146000
MEDICARE PROVIDER
NM
Enumeration date
04/05/2011
Last updated
04/05/2011
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