MEDICARE: ADVANCE HEALTH CARE SERVICES INC

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	251J00000X	Nursing Care Agency	NSA-0339	DC

General Provider Information

NPI Number	:	1396097150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE HEALTH CARE SERVICES INC

Provider Business Mailing Address
First Line	:	24 KENNEDY ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-5225
Country	:	US
Telephone Number	:	202-746-2555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 FORT STEVENS DR NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-5027
Country	:	US
Telephone Number	:	202-746-2555
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. TIMOTHY O OLAWUNI
Credential	:
Telephone Number	:	301-445-3182

Provider Enumeration Date	:	10/03/2012
Last Update Date	:	10/03/2012

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Directions to “ADVANCE HEALTH CARE SERVICES INC ” Practice Location

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