Organization · NPI-2

Advantage LLC

Case Management · Boise, ID

NPI number1447514633
StatusActive
Last updated in NPPESJul 2, 2012

Details

NPI
1447514633
Entity type
Organization (NPI-2)
Legal business name
Advantage LLC
Organization subpart
No
Enumeration date
Jul 2, 2012
Last updated
Jul 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Other names

  • Advantage Service Coordination (Doing Business As)

Practice location

1991 S Doe Creek Way
Boise, ID 83709-8518

Phone 208-375-8917 · Fax 208-375-8917

Mailing address

1991 S Doe Creek Way
Boise, ID 83709-8518

Phone 208-375-8917 · Fax 208-375-8917

Authorized official

Kimberly Ann Carruthers
Owner
2083758917

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