Organization
ADVANCED HOME MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM ELAINE CLAYTON CRT (OWNER/CEO)
(931) 796-4428
Entity
Organization
Contact information
Practice address
495 E MAIN ST, STE 3, HOHENWALD, TN 38462-2082
(931) 796-4428
(931) 796-4430
Mailing address
PO BOX 667, HOHENWALD, TN 38462-0667
(931) 796-4428
(931) 796-4430
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1002
TN
Other
Enumeration date
09/28/2009
Last updated
05/07/2010
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