Organization
ADVANTAGE MOBILITY OUTFITTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF STYS (GENERAL MANAGER)
(734) 595-4400
Entity
Organization
Contact information
Practice address
3990 2ND ST, WAYNE, MI 48184-1758
(734) 595-4400
(734) 595-4520
Mailing address
3990 2ND ST, WAYNE, MI 48184-1758
(734) 595-4400
(734) 595-4520
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
F145759
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4839197
—
MI
Enumeration date
10/10/2006
Last updated
08/22/2020
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