| Organization Name: | ADVANCED ADVANTAGE HOMECARE SERVICES LLC |
| NPI Number: | 1295103703 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEO IWE NWAOKWU (ADMINISTRATOR/DIRECTOE OPERATIONS) |
| Mailing Address: | 3621 Frankford Rd Apt # 411 Dallas |
| State: | TX US |
| Postal Code: | 752876100 |
| Phone Number: | 5122870444 |
| Fax Number: | 2147316156 |
| NPI Enumeration Date: | 09/14/2015 |
| NPI Last Update Date: | 09/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |