Organization · NPI-2

Advantage Home Health Care, LLC

Home Health · Surprise, AZ

NPI number1639264104
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1639264104
Entity type
Organization (NPI-2)
Legal business name
Advantage Home Health Care, LLC
Organization subpart
No
Enumeration date
Oct 3, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home HealthL13068095AZYes

Practice location

14872 N 142nd Lane
Surprise, AZ 85379-8726

Phone 623-792-5647 · Fax 623-215-6674

Mailing address

14872 N 142nd Lane
Surprise, AZ 85379-8726

Phone 623-792-5647 · Fax 623-215-6674

Authorized official

Stephanie Scott
Owner/Operator
6237925647

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