Organization Name: | MMS SOUTHERN MAINE, INC. |
NPI Number: | 1558306498 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TYRRELL HUNTER (PRESIDENT) |
Mailing Address: | 49 Topsham Fair Mall Rd Ste 7 Topsham |
State: | ME US |
Postal Code: | 040861734 |
Phone Number: | 2077296990 |
Fax Number: | 2077298418 |
NPI Enumeration Date: | 06/17/2006 |
NPI Last Update Date: | 12/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |