# WATERVILLE HOME OXYGEN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083644140
- **Authorized official:** KATHERINE JOAN TURNER R.R.T (MEMBER/RESPIRATORY THERAPIST)
- **Authorized official phone:** (207) 872-0500

## Contact information

- **Practice address:** 84 COLLEGE AVE, WATERVILLE, ME 04901-5604
- **Practice address phone:** (207) 872-0500
- **Practice address fax:** (207) 872-9500
- **Mailing address:** 84 COLLEGE AVE, WATERVILLE, ME 04901-5604
- **Mailing address phone:** (207) 872-0500
- **Mailing address fax:** (207) 872-9500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 08/12/2011