| NPI | 1992063440 |
|---|---|
| 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 11886000) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2017-01-10 |