Organization Name: | ADVANCED HOME CARE, INC. |
NPI Number: | 1356531966 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA C WILLIARD (SENIOR DIRECTOR OF REIMBURSEMENT) |
Mailing Address: | 165 Plaza Rd Ste 20 Wise |
State: | VA US |
Postal Code: | 242934613 |
Phone Number: | 2766796269 |
Fax Number: | 8003117783 |
NPI Enumeration Date: | 07/30/2007 |
NPI Last Update Date: | 10/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | TO BE ISSUED |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |