MEDICARE: ADVANZ HOME HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1386207033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANZ HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	1123 N 63RD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-3209
Country	:	US
Telephone Number	:	215-717-8309
Fax Number	:

Provider Business Practice Location Address
First Line	:	1123 N 63RD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-3209
Country	:	US
Telephone Number	:	215-717-8309
Fax Number	:

Authorized Official
Title or Position	:	C.E.O
Name	:	WILLIAM ABOAGYE
Credential	:
Telephone Number	:	215-717-8309

Provider Enumeration Date	:	04/18/2019
Last Update Date	:	04/22/2019

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Directions to “ADVANZ HOME HEALTH SERVICES ” Practice Location

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