Organization
LAKE REGION FURNITURE CO. INC.
Active
Other names
Crockett Furniture
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA KNIGHT (OFFICE MANAGER)
(207) 856-6711
Entity
Organization
Contact information
Practice address
673 MAIN ST, GORHAM, ME 04038-2624
(207) 856-6711
(207) 856-1315
Mailing address
673 MAIN ST, GORHAM, ME 04038-2624
(207) 856-6711
(207) 856-1315
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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