Organization · NPI-2

Advanced Healthcare Services, LLC

Home Health · Springfield, IL

NPI number1346398351
StatusActive
Last updated in NPPESDec 15, 2011

Details

NPI
1346398351
Entity type
Organization (NPI-2)
Legal business name
Advanced Healthcare Services, LLC
Organization subpart
No
Enumeration date
Jan 8, 2007
Last updated
Dec 15, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health1010686ILYes

Practice location

3900 Pintail Drive
Suite A
Springfield, IL 62711-7380

Phone 217-726-6956 · Fax 217-726-7082

Mailing address

3900 Pintail Drive
Suite A
Springfield, IL 62711-7380

Phone 217-726-6956 · Fax 217-726-7082

Authorized official

Cristina Caoili Agno
Administrator/Managing Member
2177266956

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