NPI: 1578842175
Provider Name: WATERVILLE HOME OXYGEN, LLC
Doing Business As: AUGUSTA LOCATION, WATERVILLE HOME OXYGEN
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization
Specialization: Oxygen Equipment & Supplies
CLIA Number: 20D2238181
Address:
99 BANGOR ST
AUGUSTA, ME
ZIP 04330
Phone: (207) 624-0911
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WATERVILLE HOME OXYGEN, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Augusta, ME. WATERVILLE HOME OXYGEN, LLC NPI is 1578842175. The provider is registered as an organization entity type.
The provider Is Doing Business As Augusta Location, Waterville Home Oxygen.
The provider's business location address is:
99 BANGOR ST
AUGUSTA, ME
ZIP 04330-340
Phone: (207) 624-0911
Fax: (207) 624-0912
The provider's authorized official is Katherine Joan Turner .
The authorized official title is Member/manager and has the following contact phone number (207) 872-0500.
The CLIA number assigned to this NPI record is 20D2238181 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/12/2011 and was last updated on 8/12/2011.