| NPI | 1275904435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W CLARK President 207-564-8197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: ME 3365) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |