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General NPI Number Information
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NPI Number | 1871109900
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Entity Type | Organization
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Legal Business Name | ADVENT HOME CARE ALLIANCE, INC
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 122 E MAIN ST # 164
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City | LAKELAND
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State | FL
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Zip | 33801-4655
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Country | US
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Telephone | 863-777-9874
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Fax | 863-816-3128
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Provider Business Mailing Address
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Address Line | 122 E MAIN ST # 164
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City | LAKELAND
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State | FL
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Zip | 33801-4655
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Country | US
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Telephone | 863-777-9874
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Fax | 863-816-3128
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MAXINE M GRANSTAN
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Credential |
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Telephone | 863-272-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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