Organization
WATERVILLE HOME OXYGEN, LLC
Active
Other names
Augusta Location, Waterville Home Oxygen
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE JOAN TURNER R.R.T (MEMBER/MANAGER)
(207) 872-0500
Entity
Organization
Contact information
Practice address
99 BANGOR ST, AUGUSTA, ME 04330-4340
(207) 624-0911
(207) 624-0912
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
MGD80001003
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432147900
—
ME
Enumeration date
08/12/2011
Last updated
08/12/2011
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