| NPI | 1932102118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON E SEVEY Compliance Officer 207-848-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: ME 227424) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2016-11-16 |