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NPI Code Detail

MEDICARE: VANTAGE CARE, LLC

MEDICARE: VANTAGE CARE, LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1912596693
Entity Type Code : Organization
Provider Name (Legal Business Name) : VANTAGE CARE, LLC
Provider Business Mailing Address
First Line : 6159 SEWELLS POINT RD
Second Line :
City : NORFOLK
State : VA
Zip : 23513-3255
Country : US
Telephone Number : 757-818-9118
Fax Number :
Provider Business Practice Location Address
First Line : 6159 SEWELLS POINT RD
Second Line :
City : NORFOLK
State : VA
Zip : 23513-3255
Country : US
Telephone Number : 757-818-9118
Fax Number :
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : STEVEN SERIO
Credential :
Telephone Number : 757-818-9118
Provider Enumeration Date : 01/15/2021
Last Update Date : 01/15/2021

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Directions to “VANTAGE CARE, LLC ” Practice Location

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