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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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