Organization Name: | WATERVILLE HOME OXYGEN, LLC |
NPI Number: | 1083644140 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHERINE JOAN TURNER (MEMBER/RESPIRATORY THERAPIST) |
Mailing Address: | 84 College Ave Waterville |
State: | ME US |
Postal Code: | 049015604 |
Phone Number: | 2078720500 |
Fax Number: | 2078729500 |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 08/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |