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NPI Code Detail

MEDICARE: ADVANTAGE PRIVATE NURSING SERVICES, INC

MEDICARE: ADVANTAGE PRIVATE NURSING 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
1251J00000XNursing Care AgencyMI
2251J00000XNursing Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548304645
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANTAGE PRIVATE NURSING SERVICES, INC
Provider Business Mailing Address
First Line : 524 W CENTRE AVE
Second Line :
City : PORTAGE
State : MI
Zip : 49024-5306
Country : US
Telephone Number : 269-324-1180
Fax Number : 269-324-1175
Provider Business Practice Location Address
First Line : 524 W CENTRE AVE
Second Line :
City : PORTAGE
State : MI
Zip : 49024-5306
Country : US
Telephone Number : 269-324-1180
Fax Number : 269-324-1175
Authorized Official
Title or Position : PRESIDENT
Name : MS. COLLEEN A KUDA
Credential : RN
Telephone Number : 269-324-1180
Provider Enumeration Date : 02/20/2007
Last Update Date : 08/14/2009

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Directions to “ADVANTAGE PRIVATE NURSING SERVICES, INC ” Practice Location

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