| NPI | 1376801084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON E SEVEY Compliance Officer 207-848-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: ME 1145929) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2016-10-05 |