Organization · NPI-2

Advent Home Care Alliance, INC

In Home Supportive Care · Lakeland, FL

NPI number1871109900

StatusActive

Last updated in NPPESSep 23, 2020

Details

NPI: 1871109900
Entity type: Organization (NPI-2)
Legal business name: Advent Home Care Alliance, INC
Organization subpart: No
Enumeration date: Sep 23, 2020
Certification date: Sep 23, 2020
Last updated: Sep 23, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
251E00000X	Home Health	–	–
251V00000X	Voluntary or Charitable	–	–
385H00000X	Respite Care	–	–

Practice location

122 E Main St # 164
Lakeland, FL 33801-4655

Phone 863-777-9874 · Fax 863-816-3128

Mailing address

122 E Main St # 164
Lakeland, FL 33801-4655

Phone 863-777-9874 · Fax 863-816-3128

Authorized official

Maxine M Granstan
President
8632721001

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