Healthcare Provider Details

I. General information

NPI: 1750627774
Provider Name (Legal Business Name): ALLIED HEALTH ADVANTAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2012
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1512 BENTON AVE STE 2
BENTON ME
04901-3345
US

IV. Provider business mailing address

1512 BENTON AVE STE 2
BENTON ME
04901-3345
US

V. Phone/Fax

Practice location:
  • Phone: 207-680-9155
  • Fax: 207-680-9160
Mailing address:
  • Phone: 207-680-9155
  • Fax: 207-680-9160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. NANCY BEADLING
Title or Position: THERAPIST/OWNER
Credential: CFOM, COTA/L, CLT
Phone: 207-680-9155