| Organization Name: | ADVANCE HOME CARE MANAGEMENT LLC |
| NPI Number: | 1093174450 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINE FULLARD (PRESIDENT) |
| Mailing Address: | 205 West Main Street Olanta |
| State: | SC US |
| Postal Code: | 291140669 |
| Phone Number: | 8433700050 |
| Fax Number: | 8433700052 |
| NPI Enumeration Date: | 02/15/2016 |
| NPI Last Update Date: | 02/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | IHCP-0498 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |