Organization
ADVANTAGE MEDICAL EQUIPMENT AND SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA MCMILLAN (CO-OWNER)
(660) 248-1445
Entity
Organization
Contact information
Practice address
209 N CHURCH ST, FAYETTE, MO 65248-1403
(660) 248-1445
(660) 248-1043
Mailing address
209 N CHURCH ST, FAYETTE, MO 65248-1403
(660) 248-1445
(660) 248-1043
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
17322073
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
855021804
—
MO
Enumeration date
03/15/2007
Last updated
03/19/2012
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