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NPI Code Detail

MEDICARE: AADVANCE HOMECARE

MEDICARE: AADVANCE HOMECARE
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
1253Z00000XIn Home Supportive Care Agency
2251J00000XNursing Care Agency

General Provider Information

NPI Number : 1649785833
Entity Type Code : Organization
Provider Name (Legal Business Name) : AADVANCE HOMECARE
Provider Business Mailing Address
First Line : 126 E BURKE ST
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-4302
Country : US
Telephone Number : 443-791-1456
Fax Number : 410-744-8200
Provider Business Practice Location Address
First Line : 126 E BURKE ST
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-4302
Country : US
Telephone Number : 443-791-1456
Fax Number : 410-744-8200
Authorized Official
Title or Position : DIRECTOR OF NURSING
Name : BENE FYNN BANSAH
Credential :
Telephone Number : 443-791-1456
Provider Enumeration Date : 12/10/2017
Last Update Date : 12/10/2017

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Directions to “AADVANCE HOMECARE ” Practice Location

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