MEDICARE: ADVANCED HEALTH CARE SOLUTIONS

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1932456399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HEALTH CARE SOLUTIONS

Provider Business Mailing Address
First Line	:	2865 SUNRISE BLVD
Second Line	:	SUITE 103
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95742-6538
Country	:	US
Telephone Number	:	916-638-8719
Fax Number	:

Provider Business Practice Location Address
First Line	:	2865 SUNRISE BLVD
Second Line	:	SUITE 103
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95742-6538
Country	:	US
Telephone Number	:	916-638-8719
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHIRLEY DIZON
Credential	:
Telephone Number	:	916-638-8719

Provider Enumeration Date	:	08/04/2012
Last Update Date	:	08/04/2012

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