Organization · NPI-2

Advantage Healthcare, INC.

Home Health · Brooklyn Park, MN

NPI number1225364482
StatusActive
Last updated in NPPESOct 22, 2009

Details

NPI
1225364482
Entity type
Organization (NPI-2)
Legal business name
Advantage Healthcare, INC.
Organization subpart
No
Enumeration date
Oct 22, 2009
Last updated
Oct 22, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

1036 80th Ct N
Brooklyn Park, MN 55444-2049

Phone 763-477-2428

Mailing address

1036 80th Ct N
Brooklyn Park, MN 55444-2049

Phone 763-477-2428

Authorized official

Christopher Ebalu Ogharibhor
Administrator
7634772428

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