Organization
OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN BENSON CMF (OWNER)
(207) 667-8200
Entity
Organization
Contact information
Practice address
10 HANCOCK ST, ELLSWORTH, ME 04605-2015
(207) 667-8200
Mailing address
PO BOX 213, BAR HARBOR, ME 04609-0213
(207) 667-8200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433109100
—
ME
Enumeration date
08/21/2007
Last updated
04/05/2010
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