Organization
ADVANTAGE HOME MEDICAL EQUIPMENT INC
Active
Organization
ADVANTAGE HOME MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE I BUTLER SR. PRESIDENT (PRESIDENT)
(386) 792-2224
Entity
Organization
Contact information
Practice address
263 MAIN ST, LOGANVILLE, GA 30052
(678) 957-6503
Mailing address
605 HWY 41 NW, JASPER, FL 32052
(386) 792-2224
(386) 792-2244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300038977B
—
GA
05
—
951940800
—
FL
Enumeration date
10/31/2006
Last updated
11/19/2009
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