Organization
SINITRAM LLC
Active
Other names
Advantage Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA J COOPER (OWNER)
(319) 465-1003
Entity
Organization
Contact information
Practice address
415 E. 1ST STREET, MONTICELLO, IA 52310-1506
(319) 465-1003
(319) 465-1004
Mailing address
415 E. 1ST STREET, MONTICELLO, IA 52310-1506
(319) 465-1003
(319) 465-1004
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
153007358
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0501454
—
IA
Enumeration date
03/20/2008
Last updated
07/20/2024
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