| NPI | 1336563196 |
|---|---|
| Doing Business As | WATERVILLE HOME OXYGEN |
| Entity Type | Organization |
| Authorized Contact | JEREMY S BROCKMANN VP 978-840-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: ME MGD80001122) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2022-12-07 |