Organization
ADVANCED MODIFICATIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA K. BENNETT (PRESIDENT)
(207) 848-8226
Entity
Organization
Contact information
Practice address
1766 HAMMOND ST, HERMON, ME 04401-1119
(207) 848-8226
(207) 848-8227
Mailing address
1766 HAMMOND ST, HERMON, ME 04401-1119
(207) 848-8226
(207) 848-8227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
ME
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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