Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI # | 1083644140 |
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| LBN Legal business name | WATERVILLE HOME OXYGEN, LLC | ||||
| Authorized official | KATHERINE TURNER - (MEMBER/RESPIRATORY THERAPIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/04/2006 | ||||
| Last updated | 08/12/2011 - About 15 years ago | ||||
| Identifiers |
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