| NPI | 1861488066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD T. JACQUES President 207-255-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ME WH70001087) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2008-11-07 |