Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI # | 1578676581 |
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| LBN Legal business name | AMERICOAST MAINE, LLC | ||||||||||||
| Authorized official | JENNIFER KUCZEWSKI - (DIRECTOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 08/16/2006 | ||||||||||||
| Last updated | 12/15/2014 - About 11 years ago | ||||||||||||
| Identifiers |
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