Organization
ADVANTAGE MEDICAL EQUIPMENT AND SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA MCMILLAN (CO-OWNER/PRESIDENT)
(660) 248-1445
Entity
Organization
Contact information
Practice address
209 N CHURCH ST, FAYETTE, MO 65248-1403
(660) 248-1445
(660) 248-1043
Mailing address
209 N CHURCH ST, FAYETTE, MO 65248-1403
(660) 248-1445
(660) 248-1043
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625021803
—
MO
Enumeration date
04/03/2006
Last updated
03/19/2012
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