Organization
WATERVILLE HOME OXYGEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE JOAN TURNER R.R.T (MEMBER/RESPIRATORY THERAPIST)
(207) 872-0500
Entity
Organization
Contact information
Practice address
84 COLLEGE AVE, WATERVILLE, ME 04901-5604
(207) 872-0500
(207) 872-9500
Mailing address
84 COLLEGE AVE, WATERVILLE, ME 04901-5604
(207) 872-0500
(207) 872-9500
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432147900
—
ME
Enumeration date
07/04/2006
Last updated
08/12/2011
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