Organization · NPI-2

Advanced Home Care, INC.

Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies · Wilmington, NC

NPI number1740539790
StatusActive
Last updated in NPPESAug 23, 2017

Details

NPI
1740539790
Entity type
Organization (NPI-2)
Legal business name
Advanced Home Care, INC.
Organization subpart
No
Enumeration date
Sep 6, 2012
Last updated
Aug 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition––

Practice location

1620 Wright St
Wilmington, NC 28401-8075

Phone 910-796-3033 · Fax 800-311-7783

Mailing address

Po Box 18049
Greensboro, NC 27419-8049

Phone 336-878-8950 · Fax 336-878-8883

Authorized official

Mike Kalbaugh
Credentialing Specialist
3368788824

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