| NPI | 1740318021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SEVEY Compliance Officer 207-848-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: ME 1142511) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-10-13 |